Factors Associated with Neonatal Outcomes Among Mothers with Gestational Diabetes Mellitus at Thasala Hospital
Keywords:
Mothers with gestational diabetes mellitus, Pre-pregnancy body mass index, Total gestational weight gain, Neonatal size gestational age, Neonatal head circumferenceAbstract
This retrospective study utilized data retrieved from the HosXP database and delivery records of women diagnosed with gestational diabetes mellitus (GDM) who gave birth at Thasala Hospital between October 1, 2020, and September 30, 2023. A total of 331 cases were included. The objective was to examine maternal factors associated with neonatal outcomes among women with GDM. The research instruments comprised a general information record form, a maternal health status record form (CVI = 1.00), and a neonatal outcome record form (CVI = 1.00). Descriptive statistics including frequency, percentage, mean, and standard deviation were used to analyze general and maternal health data. Associations between maternal factors and neonatal outcomes were analyzed using the Chi-square test or Fisher’s Exact Test, as appropriate. The results revealed that the number of previous abortions was significantly associated with gestational age at delivery (p < .05). Pre-pregnancy body mass index was significantly associated with neonatal size for gestational age and neonatal head circumference (p < .05). Additionally, total gestational weight gain was significantly associated with both neonatal size for gestational age and neonatal head circumference (p < .01 and p < .001, respectively). These findings suggest that healthcare providers should establish systematic follow-up and close monitoring of gestational weight gain among women with GDM to ensure optimal fetal growth and prevent adverse neonatal outcomes.
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