Abstract
Introduction: Gestational diabetes mellitus (GDM) is defined as glucose intolerance diagnosed for the first time during pregnancy(1). Indian women have an eleven fold increased risk of developing glucose intolerance during pregnancy compared to Caucasian wome.(20 . Studies suggest there would be a further increase to 20% in incidence rates. Gestational Diabetes not only plays a role in altering the immediate maternal and fetal outcomes but also increases the risk of type 2 diabetes in the future for both mother (A relative risk of 7.43)(3) and the baby(4).
Methods: A cohort study conducted in 202 patients consisting of 101 patients of pregnant women with GDM risk and normal pregnancy each at Department of Paediatrics, Hitech Medical college, Bhubaneswar over a period of 2 years.
Results: Major outcomes included 83(82.2%) women having gestational diabetes had underwent Cesarean Sections and had 4 macrosomic babies. The babies of these mothers also had the most tendencies to develop hyperbilirubinemia and accounted for a total of 19 NICU admissions with 2 stillbirths.
Conclusion: Gestational Diabetes Mellitus is associated with significant maternal and fetal outcomes.
Keywords: Gestational Diabetes Mellitus, Outcome, LSCS, Complications.
References
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Corresponding Author
Dr Sasmita Devi Agrawal
Professor and Head of the Department, Paediatric, HMCH
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.190
