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Abstract
Background: Gestational Diabetes Mellitus (GDM) is a glucose intolerance disorder first recognized during pregnancy and is associated with adverse maternal and neonatal outcomes such as preeclampsia, macrosomia, and neonatal hypoglycemia. The global burden of GDM is rising, including in Nigeria, yet screening remains inadequate in many primary healthcare (PHC) settings. Objective: This study assessed the risk status and associated factors of GDM among pregnant women attending PHC centers in Egor and Ovia North-East Local Government Areas of Edo State. Methods: A descriptive cross-sectional design was employed. Pregnant women attending antenatal clinics at selected PHC facilities were recruited using convenience sampling. Data were collected through structured questionnaires on demographic, obstetric, and lifestyle factors, alongside a nine-item GDM risk assessment tool. Descriptive statistics and internal consistency testing (Cronbach’s alpha) were used for analysis. Results: Most respondents were aged 26–35 years. Based on the risk assessment tool, 74.7% were low risk, 22.4% moderate risk, and 2.9% high risk for GDM. Significant predictors included maternal age, pre-pregnancy body mass index, family history of diabetes or hypertension, and previous obstetric complications. Sociodemographic factors such as marital status, education, and occupation were not significantly associated. Regular exercise and healthy diets were linked to lower GDM risk. The risk assessment tool showed good reliability (Cronbach’s alpha = 0.702). Conclusion: Early identification of at-risk women through effective screening and timely antenatal care can improve maternal and neonatal outcomes. Integrating GDM risk assessment, counseling, and lifestyle education into PHC services is strongly recommended
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