Risk Factors for Caesarean Delivery and Fetal Macrosomia among Women with Gestational Diabetes in Nyeri County, Kenya: A Cross-Section Study
Loading...
Date
2022
Authors
Njogu, Peter Kimani
Makunyi, Eliphas Gitonga
Musau, Joseph
Journal Title
Journal ISSN
Volume Title
Publisher
African Field Epidemiology Network
Abstract
Introduction: 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.
Description
Article
Keywords
Gestational diabetes mellitus, caesarean delivery, fetal macrosomia
Citation
Njogu, 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.