{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:29:31Z","timestamp":1787318971716,"version":"build-2736575974"},"reference-count":36,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Gestational diabetes mellitus (GDM) represents a significant global public health challenge, posing substantial risks to both maternal and foetal health.\n\nAim: This study analysed risk factors, follow-up, management approaches and obstetric complications in pregnant women with GDM.\n\nSetting: This study was conducted in Southern Morocco.\n\nMethods: This multicentre retrospective cross-sectional study analysed 297 patient files (n = 120 with GDM) from four maternity hospitals (2019-2023). Data were collected via a standardised form. Statistical analysis included descriptive summaries, group comparisons (Chi-square, Fisher\u2019s t-test, Mann\u2013Whitney U) and logistic regression to calculate odds ratios (ORs) using SPSS version 27.\n\nResults: Gestational diabetes mellitus screening was inconsistent: only 17% (95% confidence interval [CI]: 11.5% \u2013 25.6%) of women were screened before 24 weeks of amenorrhea, and 38% (95% CI: 29.8% \u2013 47.5%) between 24 weeks and 28 weeks. The oral glucose tolerance test 75 g was not used. Gestational diabetes mellitus was significantly associated with caesarean delivery (OR = 2.52; 95% CI: 1.29\u20134.92; p = 0.007 and preeclampsia 5.95 (95% CI: 1.21\u201329.21; p = 0.028). Risk factors for GDM included maternal age over 35 years and obesity (body mass index [BMI]: \u2265 30). A history of prematurity showed a significant association with GDM, with adjuster OR (aOR) of 3.47 (95% CI: 1.36\u20138.79; p &lt; 0.011).\n\nConclusion: Preventing maternal complications from GDM relies on raising women\u2019s awareness about the importance of screening and monitoring during pregnancy in Southern Morocco.\n\nContribution: This study highlights the necessity of strengthening GDM screening and targeted management strategies for at-risk pregnant women in Morocco, particularly in the southern region.<\/jats:p>","DOI":"10.4102\/jphia.v16i1.1313","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T08:39:56Z","timestamp":1755765596000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Follow-up and risk factors of pregnant women with gestational diabetes in Morocco"],"prefix":"10.4102","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9980-5862","authenticated-orcid":false,"given":"Rachida","family":"Boutiti","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00r8w8f84","id-type":"ROR","asserted-by":"publisher"}],"name":"Mohammed V University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5340-7566","authenticated-orcid":false,"given":"Hicham","family":"Gougueni","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/006sgpv47","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 Ibn Zohr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8566-1451","authenticated-orcid":false,"given":"Youssef","family":"Bouchriti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/006sgpv47","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 Ibn Zohr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9847-5971","authenticated-orcid":false,"given":"Abderrahman","family":"Arechkik","sequence":"additional","affiliation":[{"name":"Department of Nursing Care, High Institute of Nursing Professions and Health Techniques, Agadir, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8335-0721","authenticated-orcid":false,"given":"Safiya","family":"Mahlaq","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00r8w8f84","id-type":"ROR","asserted-by":"publisher"}],"name":"Mohammed V University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2798-7672","authenticated-orcid":false,"given":"Hayat","family":"Iziki","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00r8w8f84","id-type":"ROR","asserted-by":"publisher"}],"name":"Mohammed V University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5724-2751","authenticated-orcid":false,"given":"Amina","family":"Barkat","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00r8w8f84","id-type":"ROR","asserted-by":"publisher"}],"name":"Mohammed V University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Leye A, Diaba Diack N, Ndiaye Sarr N, et al. 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Trends in maternal characteristics. and maternal and neonatal outcomes of women with gestational diabetes: A study from Jordan. Ann Med Surg. 2021;67:102469. https:\/\/doi.org\/10.1016\/j.amsu.2021.102469","DOI":"10.1016\/j.amsu.2021.102469"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Ahmed DA, Toony LFE, Esmail AM, Abass WA, Khated HE. Assessment of gestational diabetes in high-risk women attending Assiut University Women Health Hospital, Egypt. Egypt J Intern Med. 2019;31:423\u2013430. https:\/\/doi.org\/10.4103\/ejim.ejim_109_19","DOI":"10.4103\/ejim.ejim_109_19"}],"container-title":["Journal of Public Health in Africa"],"original-title":[],"deposited":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T08:40:08Z","timestamp":1755765608000},"score":1,"resource":{"primary":{"URL":"https:\/\/publichealthinafrica.org\/index.php\/jphia\/article\/view\/1313"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,25]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,1]]}},"URL":"https:\/\/doi.org\/10.4102\/jphia.v16i1.1313","relation":{},"ISSN":["2038-9922","2038-9930"],"issn-type":[{"value":"2038-9922","type":"print"},{"value":"2038-9930","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,25]]},"article-number":"a1313"}}