Indian Journal of Obstetrics and Gynecology Research


Impact of gestational diabetes mellitus on maternal & fetal outcome


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Author Details: Manju Yadav, Garima Sharma, Saurabh Bhargava, Seema Sharma, Manju Maheshwari

Volume : 3

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 330

Article End Page : 333


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.

Keywords:
Gestational diabetes mellitus, Glucose intolerance, Diabetes in pregnancy study group India criteria, Macrosomia