A study of prevalence gestational diabetes mellitus and pregnancy out come at tertiary health care center
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 10, Issue 2
Abstract
Background: Gestational diabetes mellitus (GDM) is a common metabolic abnormality during pregnancy which if untreated may lead to maternal and perinatal complications. Pregnancy is a complex endocrine metabolic adaptation and diabetogenic condition involving impaired cellular function and moderate elevation of blood glucose levels particularly following ingestion of the meal. Aims and Objectives: to study prevalence ofGestational diabetes mellitus and pregnancy out come at tertiary health care center.Methodology: This was a cross sectional study carried out in the department of OBGY during the one year period i.e. January 2017 to January 2018, all the ANC registered women werescreenedfor Gestational diabetes mellitus by Glucose Tolerance test (GTT) those patients whoshowed Positive GTT were included into study. All details of the patients like, Age, BMI, Parity, Maternalcomplications, Neonatalcomplications etc. were noted. The data was entered to excel sheet and percentage and proportions were calculated.Result: In our study we have found thatthe prevalence of GDM in our study was found to be 1.89%.The average age of the patients was 27 ± 2.32 Yrs. , BMI was 26± 3.21most of the patients were multi gravidas averageparity was 2.2± 1.23. The most common maternal complications were Cesarean deliveryin 71.43%; followed byPIHin 54.29%,APHin 20.00%,IUGRin 14.29%,Oligohydramnios in 8.57%,IUDin 5.71. The most common neonatal complications were Macrosomiawere 40.00%,Hypocalcaemiain 34.29%, Hyperbilirubinemiain 31.43%,Pretermin 25.71%,Polycythemia in 22.86%,Congenital anomalyin 14.29%,Respiratory distressin 11.43%.Conclusion:It can be concluded from our study that the prevalence of GDM was 1.89% , the most common maternal complications were Cesarean deliveryfollowed byPIH, APH, IUGR, Oligohydramnios, IUD and neonatal complications were Macrosomia, Hypocalcaemia, Hyperbilirubinemia Preterm etc.
Authors and Affiliations
Swarn Lata Das, Sushma Sinha
Interpregnancy intervals and its maternal fetal outcome
Background: Inter- pregnancy interval is considered as the time elapsed between the pregnancies and is calculated as the number of months between the date of the last child birth and the date of last menstrual period of...
A study of barriers of by cervical cancers screening among nursing professionals at tertiary health care center
Background: Cervical cancer is an important public health problem. Globally, cancer cervix is one of the commonest cancers among women, with an estimate of 468000 new cases annually and 80% of these cases occur in develo...
Comparative study of clinico-epidemiological profile of eclampsia and normotensive patients
Background: The present study is undertaken to identify the factors influencing maternal and perinatal outcome, in terms of maternal and perinatal mortality and morbidity rate in eclampsia in semiurban population as comp...
Evaluation of thrombocytopenia in pregnancy; Its effects on maternal and fetal outcome
Thrombocytopenia is an independent and important risk factor for the occurrence of maternal and perinatal complications. Thrombocytopenia is associated with high incidence of preterm deliveries, fetal distress and intrau...
Histopathological study of umbilical cord and placental membranes in clinically suspected cases of chorioamnionitis
Background: According to the World Health Organization, approximately four million neonates die annually with a global neonatal mortality rate of 23/1,000 live births. About a million of these deaths are attributable to...