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| Survey on the cognitive status for gestational diabetes mellitus women from Liaocheng municipal hospitals and the analysis of the influencing factors of the pregnancy outcomes |
| 1.The Second People's Hospital of Liaocheng City, Shandong Province, 252600; 2.Liaocheng People's Hospital of Shandong Province; 3.Liaocheng Dongchangfu District Maternal and Child Health Care Hospital |
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Abstract To investigate the cognitive status for gestational diabetes mellitus(GDM) of pregnant women from Liaocheng municipal hospital, and to analyze the influencing factors of the adverse pregnancy outcomes of these women. Methods: A total of 2982 pregnant women with GDM from three Liaocheng municipal hospitals were selected as the research objects between 2021 and 2023, and the cognition status for GDM of the women were investigated. Baese on the pregnancy outcomes, these women were divided in to group A(women with normal pregnancy outcomes) and group B(women with adverse pregnancy outcomes). Logistic regression analysis was applied to analyze the related factors affecting the pregnancy outcomes of the women with GDM. Results: Among 2982 women with GDM, there were 1263(42.4%) cases were aware of GDM, and 1719(57.7%) cases were unaware of GDM. There were 2088(70.0%) cases in group A and 894(30.0%) cases in group B. Multivariate analysis showed that the poor glycemic control during pregnancy(OR=2.580, 95%CI: 1.813-3.671), the higher prepregnancy body mass index(OR=1.805, 95%CI: 1.224-2.661), and the more weight gain during pregnancy(OR=2.290, 95%CI: 1.683-3.115) of the women with GDM were the independent risk factors of their adverse pregnancy outcomes, and the more exercise(OR=0.989, 95%CI: 0.983-0.995) of the women with GDM was a protective factor of their adverse pregnancy outcomes(all P<0.05). Conclusion: The pregnant women with GDM in this survey have the low awareness of their own GDM-related knowledge, and the relevant knowledge education for these women should be strengthened. The poor glycemic control during pregnancy, the higher pre-pregnancy body mass index and the more weight gain during pregnancy of the women with GDM are the independent risk factors for their adverse pregnancy outcomes, while the more exercise is a protective factor. It is suggested that the clinical staffs should be paid attention to the pregnant women with above factors and should strengthen intervention so as to reduce the incidence of the adverse pregnancy outcomes of the women.
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