Investigation Of GDM Incidence And Pregnancy Outcome In Primipara And Multipara

[Objective]In this study,gestational diabetes mellitus and adverse pregnancy outcomes of first-time and parietal mothers at the same age were compared,so as to explore whether the birth number is an independent risk factor affecting the occurrence of GDM,so as to provide basis for preventing the occurrence of GDM and improving maternal and infant health.[Methods]A total of 189 primiparas and 189 multiparas,who were admitted to our hospital from January 2019 to November 2019 and met the admission criteria,were selected as study subjects.Basic data of the two groups of pregnant women.Prenatal collection:OGTT blood glucose at each point(fasting,1 hour after meals,2 hours after meals)was calculated for comparison and analysis.Data were collected about the number of caesarean section,pregnancy-induced hypertension,preterm birth,postpartum hemorrhage,oligohydramnios,premature rupture of fetal membranes,macrosomia,fetal distress and intrauterine infection was calculated.Collected at 6 to 8 weeks postpartum:OGTT blood glucose values at each point.First,the basic data of the two groups were compared for statistical significance.Second,the incidence of gestational diabetes was compared between primiparas and multiparas.Third,compare the incidence of caesarean section,pregnancy-induced hypertension,preterm birth,postpartum hemorrhage,oligohydramnios,premature rupture of fetal membranes,macrosomia,fetal distress and intrauterine infection.Fourth,univariate analysis and multivariate logistic regression analysis were performed on the major risk factors of gestational diabetes,and the independent risk factors of GDM were analyzed.[Results]Basic data of primipara and multiparas:age,height,weight,education level,income level and other data of parturient women were not statistically significant(P>0.05).The incidence of Caesarean section,GDM and macrosomia in multiparas was significantly higher than that of primiparas(P<0.05).The incidence of premature rupture of fetal membranes and fetal distress in primiparas was significantly higher than that in multiparas(P<0.05).There were no statistically significant differences in the incidence of pregnancy-induced hypertension,preterm birth,postpartum hemorrhage,oligohydramnios,and intrauterine infection(P>0.05).Birth order is only a risk factor for gestational diabetes,but not an independent risk factor.[Conclusion]Compared with the primiparas and multiparas at the same age,the incidence of caesarean section,GDM,macrosomia is significantly higher in multiparas,and the incidence of premature rupture of fetal membranes,fetal distress is significantly lower,and the incidence of pregnancy-induced hypertension,preterm birth postpartum hemorrhage,oligohydramnios,intrauterine infection is close.