Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon

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dc.contributor.authorDjomhou, Manuella
dc.contributor.authorSobngwi, Eugène
dc.contributor.authorNoubiap, Jean Jacques N
dc.contributor.authorEssouma, Mickael
dc.contributor.authorNana, Philip
dc.contributor.authorFomulu, Nelson J
dc.date.accessioned2021-10-08T07:08:10Z
dc.date.available2021-10-08T07:08:10Z
dc.date.issued2016
dc.description.abstractAbstract Background Data on the prevalence and complications of gestational diabetes are very scarce in Cameroon. The aim of this study was to evaluate the uptake of screening for gestational diabetes and assess the immediate post-partum outcome of hyperglycemic parturient mothers and perinatal outcome of their babies. Methods A prospective cohort study was held at the Maternity of the Yaoundé Central Hospital from March to June 2013. One hundred volunteer women in labor without overt diabetes mellitus and having fasted for 8 to 12 h were recruited. No intervention was given. A clinical examination was done and capillary glucose recorded. Parturient women were categorized into two groups (hyperglycemic and non-hyperglycemic subjects) based on glycemia results interpreted according to the International Association of Diabetes and Pregnancy Study Groups. Mothers’ clinical examination was repeated and neonates examined immediately after delivery. Perinatal outcomes associated with maternal hyperglycemia during labor were assessed using relative risks. A p value <0.05 was considered statistically significant. Results One hundred women with a mean age of 27 (SD 6) years were recruited. Of them, 22 (22 %) had already been screened for gestational diabetes at baseline. Thirty-one (31 %) were diagnosed with hyperglycemia during labor, and this condition was highly associated with macrosomia in neonates (RR = 8.9, 95 % CI 2.70–29.32; p < 0.001). Other complications associated with maternal hyperglycemia during labor were perineal tears, cesarean section, and intrauterine fetal death, though the association was not statistically significant. Conclusions The main finding of this study is that maternal hyperglycemia during labor is highly associated with macrosomia in neonates. About a third of mothers were concerned with hyperglycemia during labor, and gestational diabetes was insufficiently screened in this series.
dc.identifier.apacitationDjomhou, M., Sobngwi, E., Noubiap, J. J. N., Essouma, M., Nana, P., & Fomulu, N. J. (2016). Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon. <i>Journal of Health, Population and Nutrition (JHPN)</i>, 35(1), 174 - 177. http://hdl.handle.net/11427/34515en_ZA
dc.identifier.chicagocitationDjomhou, Manuella, Eugène Sobngwi, Jean Jacques N Noubiap, Mickael Essouma, Philip Nana, and Nelson J Fomulu "Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon." <i>Journal of Health, Population and Nutrition (JHPN)</i> 35, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34515en_ZA
dc.identifier.citationDjomhou, M., Sobngwi, E., Noubiap, J.J.N., Essouma, M., Nana, P. & Fomulu, N.J. 2016. Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon. <i>Journal of Health, Population and Nutrition (JHPN).</i> 35(1):174 - 177. http://hdl.handle.net/11427/34515en_ZA
dc.identifier.issn1606-0997
dc.identifier.issn2072-1315
dc.identifier.ris TY - Journal Article AU - Djomhou, Manuella AU - Sobngwi, Eugène AU - Noubiap, Jean Jacques N AU - Essouma, Mickael AU - Nana, Philip AU - Fomulu, Nelson J AB - Abstract Background Data on the prevalence and complications of gestational diabetes are very scarce in Cameroon. The aim of this study was to evaluate the uptake of screening for gestational diabetes and assess the immediate post-partum outcome of hyperglycemic parturient mothers and perinatal outcome of their babies. Methods A prospective cohort study was held at the Maternity of the Yaoundé Central Hospital from March to June 2013. One hundred volunteer women in labor without overt diabetes mellitus and having fasted for 8 to 12 h were recruited. No intervention was given. A clinical examination was done and capillary glucose recorded. Parturient women were categorized into two groups (hyperglycemic and non-hyperglycemic subjects) based on glycemia results interpreted according to the International Association of Diabetes and Pregnancy Study Groups. Mothers’ clinical examination was repeated and neonates examined immediately after delivery. Perinatal outcomes associated with maternal hyperglycemia during labor were assessed using relative risks. A p value <0.05 was considered statistically significant. Results One hundred women with a mean age of 27 (SD 6) years were recruited. Of them, 22 (22 %) had already been screened for gestational diabetes at baseline. Thirty-one (31 %) were diagnosed with hyperglycemia during labor, and this condition was highly associated with macrosomia in neonates (RR = 8.9, 95 % CI 2.70–29.32; p < 0.001). Other complications associated with maternal hyperglycemia during labor were perineal tears, cesarean section, and intrauterine fetal death, though the association was not statistically significant. Conclusions The main finding of this study is that maternal hyperglycemia during labor is highly associated with macrosomia in neonates. About a third of mothers were concerned with hyperglycemia during labor, and gestational diabetes was insufficiently screened in this series. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Journal of Health, Population and Nutrition (JHPN) LK - https://open.uct.ac.za PY - 2016 SM - 1606-0997 SM - 2072-1315 T1 - Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon TI - Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon UR - http://hdl.handle.net/11427/34515 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34515
dc.identifier.vancouvercitationDjomhou M, Sobngwi E, Noubiap JJN, Essouma M, Nana P, Fomulu NJ. Maternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon. Journal of Health, Population and Nutrition (JHPN). 2016;35(1):174 - 177. http://hdl.handle.net/11427/34515.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceJournal of Health, Population and Nutrition (JHPN)
dc.source.journalissue1
dc.source.journalvolume35
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s41043-016-0065-x
dc.subject.otherGestational diabetes
dc.subject.otherImmediate post-partum
dc.subject.otherMacrosomia
dc.subject.otherMaternal and perinatal outcome
dc.subject.otherMaternal hyperglycemia
dc.subject.otherSub-Saharan Africa
dc.subject.otherAdult
dc.subject.otherBirth Weight
dc.subject.otherBlood Glucose
dc.subject.otherCameroon
dc.subject.otherCesarean Section
dc.subject.otherDelivery, Obstetric
dc.subject.otherDiabetes, Gestational
dc.subject.otherFemale
dc.subject.otherFetal Death
dc.subject.otherFetal Macrosomia
dc.subject.otherHumans
dc.subject.otherHyperglycemia
dc.subject.otherInfant, Newborn
dc.subject.otherLabor, Obstetric
dc.subject.otherMass Screening
dc.titleMaternal hyperglycemia during labor and related immediate post-partum maternal and perinatal outcomes at the Yaoundé Central Hospital, Cameroon
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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