Impact of gestational diabetes mellitus on maternal & fetal outcome
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 4
Abstract
Background: Women with GDM are at increased risk for adverse obstetric and perinatal outcome. Hence, it is imperative that an early detection and management of the disease is done to ensure better maternal and fetal outcomes. Aims: To determine the incidence of gestational diabetes mellitus using single step diagnostic test at our centre and to evaluate the maternal & fetal outcome and complications. Materials and Methods: This study was carried out in 200 patients attending the antenatal outdoor. These patients were given 75 g oral glucose irrespective of the meals and their plasma glucose was estimated at 2 h. Patients with plasma glucose values > 140 mg/dl were labelled as GDM. All GDM patients were followed up and treated with diet and/or insulin therapy till delivery to know maternal and fetal outcomes. Results: The prevalence of GDM in this study was 13.5%. Maternal and fetal complications in the GDM group were much higher than non-GDM group. Polyhydromnios, oligohydromnios, Hypertension, were the common maternal complications, while fetal distress, NICU admission, macrosomia and stillbirths occurred in the fetuses. Conclusion: GDM as a disease entity adversely affects maternal and fetal outcomes. This also builds a strong case for following DIPSI guidelines in diagnosis and management of GDM.
Authors and Affiliations
Manju Yadav, Garima Sharma, Saurabh Bhargava, Seema Sharma
Keywords
Related Articles
- EP ID EP241888
- DOI -
- Views 92
- Downloads 0
Epidemiology of Stillbirth: A study in a tertiary care hospital located at a rural area of Northern Maharashtra, India
Background: Stillbirth rates are unacceptably high in developing countries. India accounts for the highest stillbirth rate in the world. Occurrence of stillbirths poses difficult situation and remains big challenge to he...
Minimizing bleeding in laparotomic myomectomy: A comparative study
Objective: To compare the effectiveness of pericervical tourniquet versus intra-myometrial injection of epinephrine in reducing blood loss in abdominal myomectomy. Study Design: A prospective analysis, over 1 year. Setti...
Study of postpartum depression and association with obstetrics risk factors
Aim and Objectives To know the prevalence of postpartum depression by Edinburgh postnatal depression scale and evaluate the obstetrics risk factors which predisposing to postpartum depressionMaterial and Methods The pres...
Comparative study of non-decent vaginal hysterectomy with abdominal hysterectomy
Introduction: Hysterectomies are carried out to treat many uterine conditions, and are performed by two principal routes i.e. abdominal and vaginal. However even after many studies, the best route of performing hysterect...
A study of outcome of pregnancy in patients with previous cesarean section in a tertiary set up
Rates of primary caesarean sections has increased dramatically since the 1980’s. Consequently, an increasing proportion of pregnant women attending for care have had a previous caesarean and face the question of mode of...