Effective administration model for gestational diabetes mellitus in the community

Objective To investigate the effective administration model for gestational diabetes mellitus(GDM) in the community. Methods In a prospective study, the 75 g oral glucose tolerance test(OGTT) was performed in 4 713 resident pregnant women over 20 years old who received antenatal care in a general hospital or a special hospital from Sep. 2011 to Aug. 2012. Five hundred and thirty-three pregnant women were diagnosed as GDM, 198 patients who labored in a general hospital were enrolled in thegroup A, and the rest who labored in a special hospital were enrolled in the group B. 198 cases with non-GDM were enrolled in the group C. Results The incidence of GDM during this study period was 11.3%. The maternal age, gestationl weeks and OGTT results of patients in the three groups were significantly different(P 0.05). With the increase of maternal age of pregnant women, the blood glucose increased while the gestationl weeks descreased. No significant differencees were shown in prevalence of polyhydramnios, hypertensive disorder complicating pregnancy, premature labor, macrosomia, fetal growth restriction and neonatal asphyxia among the three groups(P 0.05). However, significant differences were found in the incidence of postpartum hemorrhage and cesarean section. The incidence of postpartum hemorrhage increased significantly in the patients of group B(χ2= 7.156, v = 2, P = 0.028). The incidence of cesarean section increased significantly in the patients of group A(χ2= 63.592, v = 2, P = 0.000). Conclusion Establishing an effective administration model for gestational diabetes mellitus in the community could control the incidence of GDM associated complications.