Screening for gestational diabetes mellitus (GDM)
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 2
Abstract
Background: The prevalence of diabetes mellitus in the World is 5.4% and in India, in adults it is found to be 2.4% in rural and 4-11.6% in urban population. It is estimated that 1 out of every 200 pregnancies is complicated by diabetes mellitus and additionally that 5 in every 200 pregnant women will develop gestational diabetes mellitus. It is important to identify a pregnant woman with gestational diabetes mellitus because Gestational Diabetes mellitus (GDM) is associated with significant metabolic alterations, increased perinatal mortality and morbidity, maternal morbidity and exaggerated long term morbidity among the mothers and their off springs. Objective: The objective of this study is to find out prevalence of gestational diabetes mellitus and to evaluate and compare the occurrence of GDM with and without risk factors. Material and Methods: Prospective study conducted among 450 pregnant women attending the OPD/admitted at a tertiary care hospital in Mysore after the approval from the institutional Ethical committee, were randomly selected according to the inclusion and exclusion criteria. Results: In our study 106 (23.56% patients) had positive screening for 50 gms OGCT. Out of 106 patients, 25 (23.58%) patients of screening positive patients had positive OGTT and 68% of GDM patients had risk factors. There were no risk factors noted in 32% of GDM patients and would have been missed if universal screening is not practiced. Conclusion: Universal screening for GDM is superior to selective (risk factor based) screening in detecting more cases, facilitating early diagnosis and is associated with improved pregnancy outcome.
Authors and Affiliations
Sapna H P, Somashekar H K, Harsha T N
Keywords
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- EP ID EP470475
- DOI 10.26611/1012828
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