DETERMINANTS OF GESTATIONAL DIABETIS MELLITUS AMONG PREGNANT WOMEN ATTENDING ANC SERVICE IN GEDEO ZONE, SOUTHERN ETHIOPIA; A HOSPITAL BASED CASE CONTROLSTUDY.

ABSTRACT Introduction: Gestational diabetes mellitus is glucose intolerance that is firstly confirmed during pregnancy. A pregnant women with diabetes and her unborn child are at increased risk of pregnancy complication and adverse neonatal out comes. 5 in every 200 pregnant women will develop gestational diabetes. Early identification, close monitoring and management of diabetes mellitus among pregnant women can meaningfully improve pregnancy and birth outcome. Objective: The aim of this study was to identify the determinants of gestational diabetes mellitus among pregnant women attending antenatal care service in Gedeo Zone, Southern, Ethiopia, 2020. Methods: A case control study was conducted among pregnant women visited antenatal care service in Hospital of Gedeo Zone.80 cases and 240 controls were selected and interviewed with a structured questionnaire.Data was collected by trained data collectors using pretested and structured questionnaire. The data were entered using Epi Data version 3.1 and analysis was carried out using SPSS version 20.00. Logistic regression was applied to show the association of independent variables with dependent variables. Result:A total of 320( 80 cases and 240 control) pregnant women were selected and interviewed.After adjusting variables for the confounding effect GDM is significantly associated only with family history of diabetes mellitus.[AOR 1.837; 95% CI (1.059-3.189)],history of spontaneous abortion[AOR 2.397; 95% CI 1.33-4.310), history of Still birth [AOR2.240(1.222-4.105)],history of gave macro baby birth in the previous pregnancy[1.991(1.157-3.427) ]. Conclusion:- The variables; family history diabetes mellitus , history of abortion, still birth;and macro baby were found to be possible determinants of gestational diabetes mellitus among pregnant women. Women with gestational diabetes mellitus should be followed after delivery in order to monitor hyper glycemic status and link them to treatment service