Prevalence and Risk Factors of Gestational Diabetes Mellitus in Romania: Maternal and Fetal Outcomes

被引：0
作者：
Iman, Ait El Haj [1 ]
Huniadi, Anca [1 ,2 ,3 ]
Sandor, Mircea [1 ]
Zaha, Ioana Alexandra [1 ,2 ,3 ]
Rotar, Ioana [4 ]
Iuhas, Cristian [4 ]
机构：
[1] Univ Oradea, Fac Med & Pharm, Dept Clin Disciplines, 1st December Sq 10, Oradea 410073, Romania
[2] Calla Infertil Diagnost & Treatment Ctr, Constantin A Rosetti St, Oradea 410103, Romania
[3] Pelican Clin Hosp, Corneliu Coposu St 2, Oradea 410450, Romania
[4] Iuliu Hatieganu Univ Med & Pharm, Dept Clin Disciplines, Str Victor Babes 8, Cluj Napoca 400347, Romania
来源：
MEDICINA-LITHUANIA | 2025年 / 61卷 / 02期
关键词：
diabetes; maternal; gestational; OBESITY; ASSOCIATION; PREGNANCY; WOMEN;
D O I：
10.3390/medicina61020194
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background and Objectives: Gestational diabetes mellitus (GDM) is a prevalent condition associated with maternal and fetal complications, including preeclampsia, preterm birth, and neonatal risks. This study investigates the prevalence, risk factors, and socio-demographic and medical determinants of GDM in a Romanian cohort. Materials and Methods: This retrospective study analyzed 200 pregnant women aged 22-43, grouped by demographic and health factors. Data included glucose tolerance tests, hypertension, obesity, and socio-demographic evaluations. Statistical analysis, performed in SPSS with p < 0.05, used logistic regression to assess variable associations. Results: GDM prevalence was 10%, with higher rates in women with obesity (25%, p = 0.03) and hypertension (12%, p = 0.01). Urban living was significantly linked to obesity and hypertension (p = 0.02). Cesarean deliveries occurred in 30% of cases (p = 0.02), and term births accounted for 85% (p = 0.01). Factor analysis identified two key patterns, with urban-related health risks (obesity and hypertension) and socio-demographic vulnerabilities (marital status and rural residence) increasing GDM risk. Conclusions: GDM prevalence underscores the impact of medical and socio-demographic factors, stressing the need for tailored interventions like weight management, glycemic control, and equitable healthcare access to reduce risks and improve outcomes for mothers and infants.
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页数：11
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