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Year 2019

Volume: 6 , Issue: 3

Print ISSN:-2394-2746

Online ISSN:-2394-2754

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Indian Journal of Obstetrics and Gynecology Research


Analysis of gestational diabetes mellitus from a tertiary care hospital


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Author Details: Dharmavijaya MN, Chandra Mouli A, Jyoti Kamda

Volume : 4

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 17

Article End Page : 20


Abstract

Background: Gestational diabetes mellitus (GDM) poses problems for both mother and fetus. The objective of this study was to compare the maternal and perinatal outcome between women with gestational diabetes mellitus and non-diabetic women.
Study Design: A case–control study with 140 cases and 140 age-matched controls was conducted for a period of 22 months (August 2013–June 2015) in Dept of Obg mvj medical college. Hoskote, Bangalore.
Materials and Methods: Universal screening was applied by means of glucose challenge test (GCT) using 50 g of glucose. If GCT >130 mg%, the patients were subjected to oral glucose tolerance test with 100 g of glucose. National Diabetes Data Group criteria was taken to assign patients to study group. These women were further followed up and the maternal and perinatal outcomes were assessed.
Statistical Analysis: Univariate analysis was done by means of t test, Odd’s ratio, Chi-square test, and Fisher Exact test. P < 0.05 was taken as significant.
Results: The frequency of induction of labor was significantly higher than spontaneous labor. 40.1% GDM mothers and 35.8% of non-diabetic mothers were delivered by Cesarean section. Premature rupture of membranes (PROM) was the most common complication of labor Babies of diabetic mothers had a positive trend toward prematurity Hypoglycemia was the most common neonatal complication and nine babies of diabetic mothers were macrocosmic.
Conclusions: Maternal morbidities and neonatal complications such as neonatal hypoglycemia, macrosomia, and prematurity were significantly higher in GDM.

Keywords: 
Gestational diabetes mellitus, Outcome, Chi-square test, Odd’s ratio