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Prevalence of diabetes mellitus and hypertension during pregnancy in eastern China after the implementation of universal two-child policy

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International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Aims

Few studies have assessed the prevalence of diabetes and hypertension among pregnant women in China after the implementation of universal two-child policy. Therefore, the aim of the study was to determine the prevalence of diabetes and hypertension from 2016 to 2018 among pregnant women in Jiangsu, China, after the policy implementation.

Methods

We analysed data from pregnant women who delivered their neonates between 2016 and 2018 in the Northern Jiangsu People’s Hospital. All pregnant women irrespective of their gestation weeks underwent oral glucose intolerance tests in a fasting state.

Results

A total of 3262 pregnant women were included. The overall prevalence of diabetes and hypertension in pregnant women was 21.8% and 2.4%, respectively. In addition, the prevalence of low birth weight (LBW) and macrosomia for participants with diabetes was significantly higher than those without diabetes (LBW: 4.4. vs. 2.6%, p = 0.017; macrosomia: 10.1 vs. 5.8%, p < 0.001). There was a significant increasing trend in the prevalence of diabetes, which was from 18.9% in 2016 to 25.4% in 2018 (p < 0.001). Similarly, there was also a significant increasing trend in the prevalence of diabetes across the increasing age group (from 16.4% in 18–24 years to 47.6% in 40–45 years) (p < 0.001).

Conclusion

Our study reported a high prevalence of diabetes among this sample of Chinese pregnant women. In addition, advanced maternal age was found to be a risk factor of diabetes in pregnant women. Therefore, in view of high prevalence of diabetes, screening for diabetes in pregnant women is strongly recommended, regardless of their age, BMI, and gestation weeks.

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Author information

Authors and Affiliations

  1. Department of Health and Environmental Sciences, Xi’an Jiaotong-Liverpool University, Suzhou, 215123, Jiangsu Province, China

    Zheng Feei Ma

  2. Clinical Medical College, Yangzhou University, Yangzhou, 225009, Jiangsu Province, China

    Hang Zhou & Yiming Lu

  3. Department of Clinical Nutrition, Northern Jiangsu People’s Hospital, Yangzhou, 225001, Jiangsu Province, China

    Hang Zhou

  4. Baoji Maternity and Child Health Care Hospital, No. 2 Eastern Section of Xinjian Road, Weibin District, Baoji, 712000, Shaanxi, China

    Jingjie Ma

  5. Department of Orthopedics, Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu Province, 225001, China

    Yiming Lu

  6. Department of Clinical Nutrition, Suzhou Ninth People’s Hospital, Suzhou, 215200, Jiangsu Province, China

    Binyu Pan

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  1. Zheng Feei Ma
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  2. Hang Zhou
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Corresponding author

Correspondence to Hang Zhou.

Ethics declarations

The study was approved by the Ethics Committee of the Northern Jiangsu People’s Hospital (reference no. 2018063).

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study. No animals were used in this study.

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Ma, Z.F., Zhou, H., Ma, J. et al. Prevalence of diabetes mellitus and hypertension during pregnancy in eastern China after the implementation of universal two-child policy. Int J Diabetes Dev Ctries 41, 221–227 (2021). https://doi.org/10.1007/s13410-020-00872-x

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  • DOI: https://doi.org/10.1007/s13410-020-00872-x

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