Fetal outcome in Gestational Diabetes Mellitus Raj Madhu1, Agarwal Rajni2 1Assistant Prof., Saraswathi Institute of Medical Sciences, (Hapur) 2Prof, OBG dept. Saraswathi Institute of Medical Sciences, (Hapur) Online published on 15 December, 2017. Abstract Background Gestational diabetes mellitus is defined as glucose intolerance diagnosed for the first time during pregnancy and usually disappears during puerperium6 Objective The aim of the study is to assess maternal& fetal outcome in gestational diabetic women. To assess the maternal & fetal complication of pregnant women with gestational diabetes mellitus compared with non diabetic patients who delivered in hospital during study period.
Material and Method The present study was carried out in the department of Obstetrics and Gynecology SIMS, Hapur. The cases of normal uncomplicated pregnancy were selected from the antenatal clinic &general outpatient department. Method Screening for GDM was performed B/w 24–28 wks of gestational age by 50 gm glucose challenge test given orally to the patient at any time of the day, with serum glucose measured at 1 hrlater.if glucose level of one hour was > 140 mg/dl; the patient underwent a 3hr 100gm oral glucose tolerance test2, 3, 4. Conclusion In our study there was significantly increased incidence of caesarean section, pre-eclampsia, preterm vaginal delivery, induction of labour and rate of NICU admission 16.12%(p value.00082062) were also high and statically significantly associated in GDM patients. Among our diabetic patients there was no perinatal mortality, no congenital malformation in the fetus. This could be achieved with universal screening of all pregnant patients leading to early diagnosis, strict monitoring and management of these patients. There was no incidence of post partum bleeding and infection in our study. We recommend universal screening procedure for all pregnant patients at 24–28 wks of pregnancy18 Top Keywords Gestational Diabetes Mellitus, Oral Glucosetolerance Test, Universal Screening, P-Value. Top |