Prevalence of diabetes mellitus and hypertension during pregnancy in eastern China after the implementation of universal
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ORIGINAL ARTICLE
Prevalence of diabetes mellitus and hypertension during pregnancy in eastern China after the implementation of universal two-child policy Zheng Feei Ma 1 & Hang Zhou 2,3
&
Jingjie Ma 4 & Yiming Lu 2,5 & Binyu Pan 6
Received: 23 January 2020 / Accepted: 15 September 2020 # Research Society for Study of Diabetes in India 2020
Abstract Aims Few studies have assessed the prevalence of diabetes and hypertension among pregnant women in China after the implementation of universal two-child policy. Therefore, the aim of the study was to determine the prevalence of diabetes and hypertension from 2016 to 2018 among pregnant women in Jiangsu, China, after the policy implementation. Methods We analysed data from pregnant women who delivered their neonates between 2016 and 2018 in the Northern Jiangsu People’s Hospital. All pregnant women irrespective of their gestation weeks underwent oral glucose intolerance tests in a fasting state. Results A total of 3262 pregnant women were included. The overall prevalence of diabetes and hypertension in pregnant women was 21.8% and 2.4%, respectively. In addition, the prevalence of low birth weight (LBW) and macrosomia for participants with diabetes was significantly higher than those without diabetes (LBW: 4.4. vs. 2.6%, p = 0.017; macrosomia: 10.1 vs. 5.8%, p < 0.001). There was a significant increasing trend in the prevalence of diabetes, which was from 18.9% in 2016 to 25.4% in 2018 (p < 0.001). Similarly, there was also a significant increasing trend in the prevalence of diabetes across the increasing age group (from 16.4% in 18–24 years to 47.6% in 40–45 years) (p < 0.001). Conclusion Our study reported a high prevalence of diabetes among this sample of Chinese pregnant women. In addition, advanced maternal age was found to be a risk factor of diabetes in pregnant women. Therefore, in view of high prevalence of diabetes, screening for diabetes in pregnant women is strongly recommended, regardless of their age, BMI, and gestation weeks. Keywords Diabetes . Hypertension . Pregnancy . Advanced maternal age . China
Introduction * Hang Zhou [email protected] 1
Department of Health and Environmental Sciences, Xi’an Jiaotong-Liverpool University, Suzhou 215123, Jiangsu Province, China
2
Clinical Medical College, Yangzhou University, Yangzhou 225009, Jiangsu Province, China
3
Department of Clinical Nutrition, Northern Jiangsu People’s Hospital, Yangzhou 225001, Jiangsu Province, China
4
Baoji Maternity and Child Health Care Hospital, No. 2 Eastern Section of Xinjian Road, Weibin District, Baoji 712000, Shaanxi, China
5
Department of Orthopedics, Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu Province 225001, China
6
Department of Clinical Nutrition, Suzhou Ninth People’s Hospital, Suzhou 215200, Jiangsu Province, China
The prevalence of diabetes mellitus and hypertension is increasing globally and these numbers include pregnant women [1]. Pregnant women with pre-existing diabetes or gestational diabetes are at increased risk of pre-term deliv
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