The Impact of Occupational Status on Pregnancy Outcomes in Women with Gestational Diabetes Mellitus: A Propensity Score Matching Study

This study aims to explore the impact of occupational status on pregnancy outcomes in women with gestational diabetes mellitus (GDM). Data from 764 GDM patients who delivered at Xiamen University Affiliated Xiang’an Hospital from January 1, 2020, to December 31, 2024, were collected. After strict screening, 595 eligible samples were included. Using propensity score matching to balance the data between the two groups, the study analyzed the relationship between occupational status and pre-pregnancy BMI, weight gain during pregnancy, mode of delivery, and other pregnancy outcomes. The results showed a significant correlation between occupational status and pre-pregnancy BMI (P < 0.05), but no significant differences were found in weight gain during pregnancy, cesarean section rate, gestational age at delivery, or fetal weight (P > 0.05). The study highlights the importance of focusing on the pre-pregnancy health management of working women and provides a basis for public health interventions aimed at reducing the risk of GDM-related complications.