Multivariate analysis can identify women at risk for developing gestational diabetes. This allows for interventions to lessen the risk, such as smoking cessation and weight control.
Parameters:
(1) maternal age
(2) family history of diabetes mellitus
(3) race
(4) pregravid body mass index (BMI)
(5) weight gain in early adulthood
(6) cigarette smoking:
Parameter |
Risk Factor |
Relative Risk (Multivariate) |
---|---|---|
maternal age |
35-39 years |
1.25 |
|
>= 40 years |
2.24 |
family history of diabetes mellitus |
positive in first degree relative |
1.68 |
race |
Hispanic |
1.45 |
|
Afro-American |
1.75 |
|
Asian |
2.32 |
pregravid BMI |
25-29.9 kg/m^2 |
2.13 |
|
>= 30 kg/m^2 |
2.90 |
weight gain in early adulthood |
5-10 kilograms |
1.66 |
|
10-19.9 kilograms |
2.54 |
|
>= 20 kilograms |
3.56 |
cigarette smoking |
current |
1.43 |
The more risk factors that are present increase the relative risk for gestational diabetes.
Purpose: To estimate the risk of a woman developing gestational diabetes from clinical and historical findings.
Specialty: Obstetrics & Gynecology
Objective: risk factors, other testing
ICD-10: O24.4,