Association of the clinical profile and outcomes of Gestational Diabetes Mellitus Patients admitted in a Tertiary Hospital in Cebu City from January 2021 to December 2022.
- Author:
Joshua H. SERVANDE
1
;
Ma. Vircel DUYONGCO-TIU
2
Author Information
- Publication Type:Journal Article, Original
- MeSH: Tertiary Care Centers; Smoking; Pregnancy; Diabetes, Gestational; Hypertension; Apgar Score
- From: Philippine Journal of Internal Medicine 2026;64(1):7-20
- CountryPhilippines
-
Abstract:
OBJECTIVES
This study aimed at determining the association of the clinical profile of patients with GDM to maternal and neonatal outcomes
METHODSThis single-center, retrospective, descriptive, cross-sectional chart review was conducted in a tertiary hospital in Cebu City to 229 patients with GDM admitted from January 2021 to December 2022.
RESULTSThe study revealed several significant associations. Hypertension was strongly linked with primary cesarean section (OR: 4.32, P-value 0.004); and severe pre-eclampsia (OR: 16.97, P-value: 0.000). Gravidity showed significant correlations with Ballard’s score (P-value: 0.013), birthweight (P-value: 0.045) and 5-minute APGAR score (P-value: 0.001). Parity was associated with birthweight (P-value: 0.011) and 5-minute APGAR score (P-value: 0.001). Weight gain during pregnancy was linked to birthweight (P-value: 0.004) and occurrence of congenital anomalies (OR: 1.26, P-Value: 0.032). Additionally, prenatal smoking was associated with 5-minute APGAR score (P-value: 0.006). Moreover, having a Small for Gestational Age (SGA) fetal growth status is associated with insulin-requiring mothers, (OR: 4.79, P-Value: 0.049); and a family history of diabetes was significantly associated with insulin therapy (OR: 5.38, P-value: 0.021).
CONCLUSIONPatients' clinical profile affect maternal and neonatal outcomes among patients with GDM. Careful consideration of these factors during the perinatal period may help reduce maternal and fetal risks
