Maternal and Fetal Outcome of Gestational Diabetes at Tertiary Care Hospital, Gujarat, India
Creators
- 1. Assistant Professor, General Medicine Department, GMERS Medical College & Civil Hospital, Gandhinagar, Gujarat
- 2. Assistant Professor, Community Medicine Department, GMERS Medical College & Civil Hospital, Gandhinagar, Gujarat
Description
Background: The Prevalence of GDM is increasing around the world due to multiple risk factors. GDM is associated with maternal complications and fetal complications which adversely affects outcomes in both. Method: This retrospective study was carried out among 40 patients with 24-28 weeks of gestational age diagnosed with gestational diabetes mellitus through a 75gm oral glucose tolerance test and admitted & delivered at the department of obstetrics and gynecology in tertiary care hospital, Gujarat during February 2020 to May 2022. Results: In our study, 67.5% of patients with gestational diabetes mellitus (GDM) underwent cesarean delivery and 32.5% had a normal vaginal delivery. Prevalence of Hypertension was 52.5% and Hypothyroidism was 17.5% in patients with GDM. In this study, 47.5% of neonates were small for gestational age. 22.5% of neonates developed complications and were admitted to NICU out of which 12.5% had respiratory distress. Macrosomia and Hyperbilirubinemia were seen in 10% and 12.5% cases respectively. Conclusion: GDM is associated with higher maternal and fetal morbidity. Early detection, treatment, monitoring and intervention are essential for short and long-term maternal and fetal complications.
Abstract (English)
Background: The Prevalence of GDM is increasing around the world due to multiple risk factors. GDM is associated with maternal complications and fetal complications which adversely affects outcomes in both. Method: This retrospective study was carried out among 40 patients with 24-28 weeks of gestational age diagnosed with gestational diabetes mellitus through a 75gm oral glucose tolerance test and admitted & delivered at the department of obstetrics and gynecology in tertiary care hospital, Gujarat during February 2020 to May 2022. Results: In our study, 67.5% of patients with gestational diabetes mellitus (GDM) underwent cesarean delivery and 32.5% had a normal vaginal delivery. Prevalence of Hypertension was 52.5% and Hypothyroidism was 17.5% in patients with GDM. In this study, 47.5% of neonates were small for gestational age. 22.5% of neonates developed complications and were admitted to NICU out of which 12.5% had respiratory distress. Macrosomia and Hyperbilirubinemia were seen in 10% and 12.5% cases respectively. Conclusion: GDM is associated with higher maternal and fetal morbidity. Early detection, treatment, monitoring and intervention are essential for short and long-term maternal and fetal complications.
Files
IJPCR,Vol14,Issue9,Article69.pdf
Files
(309.1 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:acee44a19215fbc654d5e16a922d4b23
|
309.1 kB | Preview Download |
Additional details
Dates
- Accepted
-
2022-09-10
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue9,Article69.pdf
- Development Status
- Active
References
- 1. Balaji V, Balaji M, Anjalakshi C, Cynthia A, Arthi T, Seshiah V. Diagnosis of gestational diabetes mellitus in Asian-Indian women. Indian J Endocrinol Metab. 2011; 15:187–90. 2. Nayak H, Gadhavi R, Solanki B, Aroor B, Gameti H, Shringarpure KS, Joshi J, Kazi Z. Screening for gestational diabetes, Ahmedabad, India. Bull World Health Organ. 2022 Aug 1;100(8):484-490. doi: 10.2471/BLT.22.288045. Epub 2022 Jun 22. PMID: 35923278; PMCID: PMC9306388. 3. Nimavat NK, Dadwani RS, Kartha GP. Prevalence of gestational diabetes mellitus and associated risk factors amongst antenatal women attending urban health centre of Rajkot City, Gujarat. Int J Community Med Public Health 2019; 6:3033-7. 4. Berger H, Sermer M. Counterpoint: Selective screening for Gestational diabetes mellitus. Diabetic care, 2009; 32: 1352-4. 5. Sreelakshmi PR, Nair S, Soman B. Maternal and neonatal outcomes of gestational diabetes: a retrospective cohort study from Southern India. J Family Med Prim Care 2015;4(3):395- 398. 6. Al-Khalifah R, Al-Subaihin A, AlKharfi T. Neonatal short-term outcomes of gestational diabetes mellitus in Saudi mothers: a retrospective cohort study. J Clin Neonatol 2012;1(1):29-33. 7. Bhat M, Ramesha KN, Sarma SP. Outcome of gestational diabetes mellitus from a tertiary referral center in south India: a case-control study. J Obstet Gynaecol India 2012;62(6):644- 649. 8. Seshiah V, Sahay BK, Das AK, Shah S, Banerjee S, Rao PV. Gestational Diabetes Mellitus – Indian Guidelines. Journal of the Indian Medical Association, 2009;107(11): 799-802. 9. Mashkaria AM, Patel BS, Mashkaria AM, Shah AC, Jani SK, et al. A study of gestational diabetes mellitus and fetal outcome in a tertiary care center. Int J Reprod Contracept Obstet Gynecol 2020; 9:3417-21. 10. Rajput R, Yadav Y, Nanda S, Rajput M. Prevalence of gestational diabetes mellitus and associated risk factors at a tertiary care hospital in Haryana. The Indian J Med Res. 2013;137(4):728. 11. Zarger A. H, Sheikh M. I, Bashir M. Prevalence of GDM in Kashmiri women in Indian subcontinent. Diabetes Res Clin Prac., 2004; 66(2): 139-45. 12. Dudhwadkar AR, Fonseca MN. Maternal and fetal outcome in gestational diabetes mellitus. Int JReprod Contracept Obstet Gynecol. 2016; 5:3317-21. 13. Madhuri CH, Srilakshmi B. Retrospective Study on Prevalence, Risk Factors, Maternal and Fetal Outcome in Gestational Diabetes Mellitus. IAIM, 2019; 6(11): 94-98. 14. Boriboonhirunsarn D, Talungit P, Sunsaneevithayakul P, Sirisomboon R. Adverse Pregnancy Outcomes in Gestational Diabetes Mellitus. J Med Assoc Thai., 2006;89(Suppl.4): S23- S28. 15. Kalra P, Kachhwaha CP, Singh HV. Prevalence of gestational diabetes mellitus and its outcome in western Rajasthan. Indian Journal of Endocrinology and Metabolism 2013;17(4):677-680. 16. Schneider S, Hoeft B, Freeksen N. Neonatal complications and risk factors among women with gestational diabetes mellitus. Acta Obstet Gyneacol., 2010; 90: 231-37. 17. Prakash GT, Das AK, Habeebullah S, Bhat V, Shamanna SB. Maternal and Neonatal Outcome in Mothers with Gestational Diabetes Mellitus. Indian J Endocrinol Metab. 2017 NovDec;21(6):854-858.