Adverse maternal outcome and its association with gestational diabetes among women who gave birth in selected public hospitals in Eastern Ethiopia
Purpose: The purpose of this study was to assess the adverse maternal outcome and its assocoation with gestational diabetes among mothers who gave birth at selected public hospitals in Eastern Ethiopia.
Patients and Methods: This study conducted from December 2015 to April 2017. We recruited a total of 1834 delivering mothers, and took equal number of mothers in both hospitals. Structured and pretested questionnaires were used to collect the sociodemographic, obstetrics history, and maternal outcome data during the study. Mothers who have a risk factor for gestational diabetes mellitus underwent oral glucose tolerance test to confirm the diagnosis. The collected data was entered into EPI‑info version 3.5.1 and then exported to SPSS version 20.0 software for analysis.
Results: Pre‑eclampsia was the major 169 (9.2%) adverse pregnancy outcome observed among the study participants, which was followed by obstetric hemorhhage 107 (5.8%). Premature rupture of membrane and preeclampsia were found to have an association with gestational diabetes with AOR=3.44 [95% CI = 1.69–6.97] and AOR = 4.15 [95% CI = 2.16–7.95], respectively.
Conclusion: In our study, we found that the major adverse outcome among women who delivered in Hiwot Fana and Dilchora hospitals were preecalampsia and obstetrics heamorhage which are the major causes of maternal mortality in developing countries. Among different adverse maternal outcomes observed PROM and preeclampsia were found to have a significant association with gestational diabetes.
Keywords: Adverse outcome, gestational diabetes, preeclampsia, PROM