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dc.contributor.authorNjogu, Peter Kimani
dc.contributor.authorMakunyi, Eliphas Gitonga
dc.contributor.authorMusau, Joseph
dc.date.accessioned2023-04-06T08:36:05Z
dc.date.available2023-04-06T08:36:05Z
dc.date.issued2022
dc.identifier.citationNjogu, P. K., Makunyi, E. G., & Musau, J. (2022). Risk factors for caesarean delivery and fetal macrosomia among women with gestational diabetes in Nyeri County, Kenya: a cross-section study. The Pan African Medical Journal, 41.en_US
dc.identifier.issn1937-8688
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/25131
dc.descriptionArticleen_US
dc.description.abstractIntroduction: gestational diabetes mellitus is an emerging global public health threat due to adverse health outcomes. This study aimed to determine the risk factors for caesarean delivery and macrosomia among women with gestational diabetes in Nyeri County, Kenya. Methods: this study used a crosssection design. Randomly, 152 women with gestational diabetes and attending antenatal clinics and maternity were enrolled in this study. Data was collected using a questionnaire upon consent. Data were subjected to binary logistic regression and binomial multiple logistic regression. Results: the mean age of the women with gestational diabetes was 30.86 (SD 5.81) years. Among women with gestational diabetes, a proportion of 59.9% (n=91) delivered through caesarean delivery. The positive history of diabetes in a family, previous positive history of gestational diabetes and positive previous adverse obstetric history increased chances of caesarean section delivery by more than 3.824 (95% CI = 1.001-14.608, p=0.05), 10.331 (95% CI = 2.464-43.308, p=0.001) and 7.051 (95% CI = 1.577-31.801, 0.01) folds, respectively. Fetal macrosomia incidence was 42.1% (n=64) among women with gestational diabetes. The primary level of education, previous positive history of gestational diabetes and previous positive adverse obstetric history increased the likelihood of fetal macrosomia by more than 6.289 (95% CI = 1.241-31.870, p=0.03), 5.390 (95% CI = 1.498-19.386, p=0.01) and (95% CI = 5.804 1.349-18.423, p=0.02) folds, respectively. Conclusion: antenatal health care programs and delivery facilities should be strengthened in women with gestational diabetes to improve the risk associated with caesarean delivery and fetal macrosomia.en_US
dc.description.sponsorshipThe county director of health, Dr. Muriuen_US
dc.language.isoenen_US
dc.publisherAfrican Field Epidemiology Networken_US
dc.subjectGestational diabetes mellitusen_US
dc.subjectcaesarean deliveryen_US
dc.subjectfetal macrosomiaen_US
dc.titleRisk Factors for Caesarean Delivery and Fetal Macrosomia among Women with Gestational Diabetes in Nyeri County, Kenya: A Cross-Section Studyen_US
dc.typeArticleen_US


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