Gestational diabetes and adverse pregnancy outcomes: Experience in Tertiary care hospital in Mumbai.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Background: Pregnancy is a diabetogenic state. Prevalence of gestational diabetes mellitus (GDM) is known to vary widely depending on the region of the country, dietary habits, and socioeconomic status. The objective of this review is to assess the prevalence of gestational diabetes mellitus and to find out the consequences or effect of GDM on pregnancy outcome. Method: This hospital-based prospective comparative study was conducted over a period of one year and six months from march 2014 to September 2015 in department of Obstetrics and Gynecology Saifee hospital Mumbai. All the subjects who fulfilled the inclusion criteria and who consented to participate were screened for gestational diabetes mellitus. Result: A total of 260 women participated in the study and GDM was diagnosed in 29 pregnant women (11.1%).Increased BMI, multigravida, advanced age, abortion/s in previous pregnancy and gestational diabetes mellitus in previous pregnancy shows definite influence on GDM. Among maternal complications pregnancy induced hypertension, hydramnios were more common in gestational diabetes mellitus group than non GDM group .68.9% of women underwent cesarean section only 24.1% were had normal delivery. While in fetal complication like preterm delivery, intrauterine death, APGAR score at 1&5 min, were more in GDM patients but the difference was statistically insignificant among two groups. Conclusion: Gestational diabetes mellitus (GDM) is a most common metabolic disorder of pregnancy. GDM represents a high risk pregnancy for mother and foetus. Therefore when we screen for GDM and catch patients with the condition early, adverse fetomaternal outcome can be minimized.
Authors and Affiliations
Dr Bilal Ur Rehman
Keywords
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