Volume : 10, Issue : 12, December – 2023
Title:
MATERNAL AND FETAL OUTCOMES AMONG WOMEN WHO MISSED GLUCOSE TOLERANCE TEST DURING THEIR PREGNANCY AS A RESULT OF THE COVID-19 CRISIS
Authors :
Dr.Nehad Hamad Hamed Almajnoni, Dr.Issam Bin Ali ,
Abstract :
Background: The lockdown imposed during the early phase of the COVID-19 pandemic has impeded access to antenatal care including gestational diabetes mellitus (GDM) screening, notably between 23 March-28 May 2020, period of strict lockdown.
Objectives: To estimate the impact of missed GDM screening during COVID-19 lockdown on short-term maternal and fetal outcomes.
Methods: A retrospective cohort was conducted to identify all pregnant women whose regular screening period, i.e., gestational age 24-28 weeks, coincided with COVID-19 lockdown period (exposed group, N=142), and to compare their maternal and fetal outcomes with an equivalent-size sample of 142 consecutive pregnant woman who benefited from GDM screening during the two months preceding the lockdown (unexposed group).
Results: In unexposed group, GDM screening showed GDM prevalence of 43.0% (95%CI = 34.7–51.5%), and half (50.8%) were adequately treated. No significant differences in maternal or fetal outcomes were observed between exposed and unexposed groups. Postpartum screening, carried out among 60 (42.6%) of exposed women, showed 14 (23.3%) positive cases. Postpartum GDM cases together with prenatally diagnosed but inadequately treated ones were compared with adequately treated GDM cases, and showed significantly higher incidence of neonatal hypoglycemia (15.8% versus 0.0%, p=0.049) and neonatal intensive care admissions (36.8% versus 3.2%, p=0.003), with relatively higher, but not statistically significant, birthweight (3286.95 versus 3034.52, p=0.075) respectively.
Conclusion: The strict lockdown measures imposed in Saudi Arabia during the early phase of the COVID-19 pandemic was associated with inadequate screening and treatment of GBM, which resulted in increased maternal and fetal risks.
Keywords: Gestational diabetes; screening; COVID-19; lockdown; maternal outcome; fetal outcome
Cite This Article:
Please cite this article in press Nehad Hamad Hamed Almajnoni et al., Maternal And Fetal Outcomes Among Women Who Missed Glucose Tolerance Test During Their Pregnancy As A Result Of The Covid-19 Crisis.,, Indo Am. J. P. Sci, 2023; 10 (12).
Number of Downloads : 10
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