Abstract：Objective To study and analyze the incidence of postpartum diabetes and its risk factors in puerperas with gestational diabetes. Methods Three hundred and fifteen puerperas with gestational diabetes hospitalized in the Affiliated Wenling Hospital of Wenzhou Medical College from May 2014 to February 2016 were selected as the research objects. The incidence rate ofpostpartum diabetes in all the puerperas was statistically analyzed, and the incidence rates of postpartum diabetes in puerperas with factors before pregnancy(age,BMI value,family history of diabetes and waist-to-hip ratio (WHR)) as well as factors during pregnancy and after childbirth(blood lipids,blood pressure,fasting blood glucose during pregnancy,time of onset,exercise during pregnancy and body weight after delivery)were compared. At the same time, the relationship between the above-mentioned factors and the incidence of postpartum diabetes was analyzed by the Logistic analysis. Results There were 33 cases of postpartum diabetes among 315 puerperas with gestational diabetes, with the incidence rate being 10.48%. The incidence rate of postpartum diabetes was significantly higher in puerperas with advanced maternal age,high BMI value,family history of diabetes,high WHR,hyperlipemia,hypertension,high fasting blood glucose during pregnancy,the onset during early pregnancy,without exercise during pregnancy and weight gain after delivery than in ones with younger maternal age,low BMI value,without family history of diabetes,low WHR,without hyperlipemia and hypertension,low fasting blood glucose during pregnancy,the onset during the second and third trimesters of pregnancy, exercise during pregnancy and without weight gain after delivery; moreover, the Logistic analysis showed that age(OR=9.421,95%CI2.467-32.563),BMI value(OR=2.994,95%CI1.976-14.568),family history of diabetes(OR=8.721,95%CI2.253-31.563),WHR(OR=8.104,95%CI2.015-30.567),blood lipids(OR=5.281,95%CI2.087-22.637),blood pressure(OR=4.211,95%CI1.993-18.524), fasting blood glucose during pregnancy(OR=1.052,95%CI1.015-3.142),time of onset(OR=0.375,95%CI0.141-1.252),exercise during pregnancy(OR=0.948,95%CI1.256-10.251)and body weight after delivery(OR=1.161,95%CI1.134-3.567) were all closely related to the incidence of postpartum diabetes (all P＜0.05). Conclusions The incidence rate of postpartum diabetes in the puerperas with gestational diabetesin the Affiliated Wenling Hospital of Wenzhou Medical College from May 2014 to February 2016is high; moreover, the factors before pregnancy as well as factors during pregnancy and after childbirth are all the important factors for the incidence of postpartum diabetes. Therefore, the targeted interventions should be conducted.
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2017, Vol. 24 
