GESTATIONAL DIABETES MELLITUS- A NESTED CASE-CONTROL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 21
Abstract
BACKGROUND Prevalence of gestational diabetes mellitus is increasing around the world due to high prevalence of risk factors. It is responsible for various adverse pregnancy outcomes. The aim of the study is to study the occurrence of various maternal and foetal outcomes with gestational diabetes mellitus in a rural block of Assam. MATERIALS AND METHODS Present study was a part of larger cohort study. Here, one hundred and ninety three (193) cases and five hundred and seventy nine (579) matched controls were taken. Matching was done by age of the pregnant women. RESULTS Obesity was found twice among GDM cases than the controls (OR=2.40, CI=1.218-4.732, p=0.011). Prevalence of caesarean section was higher among GDM cases (p=0.009). Foetal macrosomia, NICU admission of newborn for >2 days, neonatal hypoglycaemia was significantly higher among GDM cases. CONCLUSION GDM causes significant complications of both mother and the newborn in terms of higher caesarean rate, macrosomia and neonatal hypoglycaemia and higher rate of admission in NICU >2 days.
Authors and Affiliations
Ajanta Deuri, Tulika Goswami Mahanta, Bhupendra Narayan Mahanta, Prahlad Bordoloi
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