{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:42Z","timestamp":1786649682131,"version":"build-2736575974"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Gestational diabetes mellitus (GDM) is a major public health concern worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aimed to determine its current prevalence and identify contributing factors among pregnant women attending a health facility in Lagos, Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted at a tertiary health facility in Lagos, Nigeria, involving 400 consenting pregnant women with a gestational age of 24\u201328 weeks. Data on socio-demographic characteristics and obstetric history were collected. Participants underwent fasting plasma glucose and oral glucose tolerance tests, consuming 75 g of glucose in 300 ml of water. Glucose levels were measured using the oxidase-peroxidase method, and GDM was diagnosed according to the International Association of Diabetes and Pregnancy Study Groups\/World Health Organization (IADPSG\/WHO 2013) criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Participants\u2019 ages ranged from 18 to 51 years, with a mean age of 31.0 \u00b1 5.3 years. A total of 76 participants met the IADPSG\/WHO 2013 criteria, resulting in a GDM prevalence of 19.0%. The identified significant risk factors for GDM included macrosomia (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 4.33,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.037), family history of diabetes (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 4.4,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.036), previous miscarriages (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 15.8,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) and congenital anomalies (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 6.4,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.011). Notably, having previously delivered a macrosomic baby was independently and significantly associated with GDM (odds ratio 4.3, 95% confidence interval = 1.08\u201316.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.039).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The high prevalence of GDM underscores the need to screen all pregnant women, particularly those with a history of macrosomia. Larger and longitudinal studies are encouraged to identify other relevant factors that could aid in effectively screening and identifying all affected pregnant women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/npmj.npmj_117_25","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:00:12Z","timestamp":1767337212000},"page":"103-110","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Determinants of Gestational Diabetes Mellitus at a Tertiary Health Facility in Lagos, Nigeria"],"prefix":"10.4103","volume":"33","author":[{"given":"Olayinka Comfort","family":"Senbanjo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatimat Motunrayo","family":"Akinlusi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Lagos State, Nigeria"},{"name":"Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kabiru Afolarin","family":"Rabiu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Lagos State, Nigeria"},{"name":"Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"2703","DOI":"10.1186\/s12889-024-20215-3","article-title":"Prevalence and 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