Blood Glucose Levels and Pregnancy Outcome in a High-risk PopulationLatifa Mohammad Baynouna Al Ketbi1*, Nico Nagelkerke2 and Hisham M Mirghani3
- *Corresponding Author:
- Latifa Mohammad Baynouna Al Ketbi
Abu Dhabi Health Services, SEHA
Ambulatory Health Care Services
United Arab Emirates, Al Ain, PO Box 1663
E-mail: [email protected]
Received date: December 09, 2015; Accepted date: December 12, 2015; Published date: December 18, 2015
Citation: Al Ketbi LMB, Nagelkerke N, Mirghani HM (2015) Blood Glucose Levels and Pregnancy Outcome in a High-risk Population. J Women’s Health Care 4:289. doi: 10.4172/2167-0420.1000289
Copyright: © 2015 Al Ketbi LMB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: UAE pregnant women have a higher prevalence, of metabolic disorders such as insulin resistance, obesity, diabetes and gestational diabetes. This justifies outcome mapping in relation to blood sugar.
Research Design and Methods: A hundred ninety-eight healthy UAE pregnant women enrolled in primary health care centers in 2010-2011 were followed in the hospital for outcome of pregnancy.
Methods: Retrospective chart review, Surveyed exposure variables: demographic data, obstetric history, BMI, Blood pressure, Hemoglobin, early trimester glucose levels fasting and 1hr after breakfast, second trimester OGTT. Primary outcomes were: gestational age at delivery, mode of delivery, fetal weight, and baby admission to SCABU or death.
Results: A non-significant trend between birth weight and the different glucose levels was found. Surprisingly, small for gestational age babies are seen in mothers with lower 1 hr OGTT. FBS OGTT was associated with the occurrence of pregnancy complications as PET (p<0.012). Only mothers with high BMI and parity appear more likely to have larger babies (p< 0.008, p<0.038). Delivery complications were more common in older women and those with lower parity (p<0.034, p<0.013), GDM was more common in obese women (p<0.033) and 1 hour OGTT with 2 hr OGTT, FBS OGTT and increasing age (p<0.00001, p<0.008, p<0.012).
Conclusion: OGTT was not helpful in predicting outcome in this population. Large Birth weight babies were not more common in women with higher glucose levels but obesity was associated with larger babies significantly.