title: Gestational diabetes mellitus among women attending prenatal care at Korle-Bu Teaching Hospital, Accra, Ghana.
abstract: OBJECTIVE
  To determine the burden of gestational diabetes mellitus (GDM) among pregnant women in Accra, Ghana.
  
  
  METHODS
  The present cross-sectional study enrolled women at 20-24 weeks of pregnancy attending their first prenatal clinic at Korle-Bu Teaching Hospital, Accra, between March and November 2013. Participants underwent a 2-hour, 75-g oral glucose tolerance test between 24 and 28 weeks. The odds of GDM among different body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) groupings were calculated in a multiple logistic regression model.
  
  
  RESULTS
  Among 399 women screened, 37 (9.3%) had GDM. Compared with women with a BMI in the normal range (18.50-24.99), obese women (BMI >30.0) had an increased risk of GDM (odds ratio [OR] 2.98, 95% confidence interval [CI] 1.08-8.20; P=0.034]; overweight women (BMI 25.00-29.99) had a slightly elevated risk (OR 1.20, 95% CI 0.41-3.55; P=0.742). Maternal age, parity, education, employment status, place of residence, and previous pregnancy complications did not affect the risk of GDM.
  
  
  CONCLUSIONS
  GDM was found in 10% of pregnant women in Accra. Women who were obese by 20-24 weeks of pregnancy had a significantly increased risk of GDM.
authors: Department of Obstetrics and Gynecology, School of Medicine and Dentistry, University of Ghana, Accra, Ghana. Electronic address: wak72@yahoo.com.
authors: Samuel A
authors: SA
authors: Oppong
authors: Department of Obstetrics and Gynecology, School of Medicine and Dentistry, University of Ghana, Accra, Ghana.
authors: Michael Y
authors: MY
authors: Ntumy
authors: Department of Epidemiology, School of Public Health, University of Ghana, Legon, Ghana.
authors: Mary
authors: M
authors: Amoakoh-Coleman
authors: Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Legon, Ghana.
authors: Deda
authors: D
authors: Ogum-Alangea
authors: Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Legon, Ghana.
authors: Emefa
authors: E
authors: Modey-Amoah
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000453:epidemiology*; D005260:Female; D005869:Ghana / Q000453:epidemiology; D005951:Glucose Tolerance Test; D006784:Hospitals, Teaching; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D050177:Overweight / Q000150:complications*; D010298:Parity; D011247:Pregnancy; D011295:Prenatal Care; D012307:Risk Factors; D055815:Young Adult
keywords: Body mass index; Gestational diabetes mellitus; Ghana; Obesity; Oral glucose tolerance test