Author/Authors :
Abbasi, Masoumeh Research Committee - Department of Medical Informatics - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Khorasani, Zahra Mazloum Endocrine Research Center - Mashhad University of Medical Sciences, Mashhad , Etminani, Kobra Department of Medical Informatics - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Rahmanvand, Rasool Islamic Azad University - South Tehran Branch, Tehran
Abstract :
Background: The outbreak of gestational diabetes has a significant increase during
recent years. This disease has complications for mother and her baby. Screening is
an opportunity for preventing of gestational diabetes complications.
Objective: The aim of this research was to determine the most important risk factors
for Gestational Diabetes Mellitus (GDM) in Iran according to the expert's views by
Group Analytical Hierarchy Process.
Materials and Methods: In this cross-sectional study, papers related to the
prevalence and risk factors of GDM in Iran from 1992-2015 were reviewed. By
studying texts and Up to Date databases, 10 risk factors for gestational diabetes were
collected. Among these 10 items, the risk factors that have become significant based
on studying literature in Iran were selected for analysis. Group Analytical Hierarchy
Process (GAHP) questionnaire distributed among all experts.
Results: 8 risk factors of gestational diabetes were significant in Iran. The analysis
of experts' views showed that "History of GDM or disorder in glucose tolerance in
pregnancy" is the most important risk factor for developing GDM (40.7%). The
second and third most important risk factors were "History of macrosomia (infant
birth weight > 4.1 Kg)" (20.2%) and" History of diabetes in first degree relatives"
(10.7%).
Conclusion: Suggesting screening based on the determined order of these risk
factors can reduce the cost and stress in pregnant women. Also, it makes patient
identifying faster. The healthcare sector can consider these priorities determined in
experts' views to prevent gestational diabetes.
