A Prospective Research on HbA1c Levels in Individuals without GDM and its Association with Pregnancy Outcome
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India
- 2. Tutor, Department of Pharmacology, Darbhanga Medical College, Laheriasarai, Darbhanga, Bihar, India
- 3. Associate Professor, Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India
Description
Aim: The study on HbA1c levels in patients without GDM and its correlation with pregnancy outcome. Methods: The prospective analytical study was conducted in the Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India, from February 2020 to February 2021. 50 Healthy antenatal women who are neither previously overt diabetic nor having gestational diabetes in the previous pregnancies were selected. A total of 50 antenatal mothers between the age group of 18 and 35 years and with gestational period more than or equal to 24 weeks, who were willing to participate were included in the study after getting proper informed and written consent. Results: A total of 50 non diabetic pregnant were taken in the study. The mean age of the population was 25.09 years. All of them were belonging more or less to same socioeconomic status. The majority of participants presented in their 2nd trimester and few in third trimester. Congenital anomalies were ruled out by anomaly scan. At the time of sample collection for HbA1c all the foetuses of the participating mothers were in cephalic presentation and the liquor was adequate on clinical examination. The mean Hba1c was found to be 5.19%. Among the study population 36 (72%) had normal vaginal delivery, 1(2%) had forceps assisted vaginal delivery and the remaining 13 (26%) had caesarean section for various reasons. 48(96%) of the study subjects came with labour pains, 1 (2%) among them had foetal distress and meconium stained liquor each respectively for which they were taken up for emergency caesarean section. Remaining 1 (2%) antenatal mother had oligohyramnios during her last trimester. About 90% participants had normal birth weight babies and the mean glycaemic status of the neonate was 55.75 mg/dL. Among the subjects 2 new-borns (4%) had NICU admission, one for 1 day for phototherapy and the other was born with congenital icthyosis for which the baby was admitted and was on continuous monitoring. Conclusion: Our study showed no significant association between the maternal HbA1c levels in non-diabetic mothers and the adverse pregnancy outcome.
Abstract (English)
Aim: The study on HbA1c levels in patients without GDM and its correlation with pregnancy outcome. Methods: The prospective analytical study was conducted in the Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India, from February 2020 to February 2021. 50 Healthy antenatal women who are neither previously overt diabetic nor having gestational diabetes in the previous pregnancies were selected. A total of 50 antenatal mothers between the age group of 18 and 35 years and with gestational period more than or equal to 24 weeks, who were willing to participate were included in the study after getting proper informed and written consent. Results: A total of 50 non diabetic pregnant were taken in the study. The mean age of the population was 25.09 years. All of them were belonging more or less to same socioeconomic status. The majority of participants presented in their 2nd trimester and few in third trimester. Congenital anomalies were ruled out by anomaly scan. At the time of sample collection for HbA1c all the foetuses of the participating mothers were in cephalic presentation and the liquor was adequate on clinical examination. The mean Hba1c was found to be 5.19%. Among the study population 36 (72%) had normal vaginal delivery, 1(2%) had forceps assisted vaginal delivery and the remaining 13 (26%) had caesarean section for various reasons. 48(96%) of the study subjects came with labour pains, 1 (2%) among them had foetal distress and meconium stained liquor each respectively for which they were taken up for emergency caesarean section. Remaining 1 (2%) antenatal mother had oligohyramnios during her last trimester. About 90% participants had normal birth weight babies and the mean glycaemic status of the neonate was 55.75 mg/dL. Among the subjects 2 new-borns (4%) had NICU admission, one for 1 day for phototherapy and the other was born with congenital icthyosis for which the baby was admitted and was on continuous monitoring. Conclusion: Our study showed no significant association between the maternal HbA1c levels in non-diabetic mothers and the adverse pregnancy outcome.
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IJPCR,Vol13,Issue4,Article54.pdf
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Additional details
Dates
- Accepted
-
2021-08-25
Software
- Repository URL
- http://impactfactor.org/PDF/IJPCR/13/IJPCR,Vol13,Issue4,Article54.pdf
- Development Status
- Active
References
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