Year : 2020 | Volume : 3 | Issue : 2 | Page : 2-6 | DOI : https://DOI-10.46319/RJMAHS.2020.v03i02.002
Comparative study of maternal and fetal outcome in gestational diabetes mellitus with non diabetic pregnancies
B S Dhananjaya1, Samra Sahu 2
1Professor and Head, Department of Obstetrics and Gynaecology, Sri Siddhartha Medical College &
Research Centre, Tumakuru, Sri Siddhartha Academy of Higher Education, Tumakuru.
2Junior Consultant, Motherhood Hospital, Sarjapura, Bangalore
Background: Diabetes mellitus is a disorder of carbohydrate metabolism characterised by high blood glucose level consequent to defective insulin production or its action or both. According to WHO estimates, highest number of Diabetes cases are recorded in India. An estimated 31.7 million people with diabetes in 2000 in India are projected to increase to 79.4 million in 2030. National Urban Diabetes survey (2001) reported a prevalence of 5.4% in under 30 age group.1 Besides other consequences of this early onset, it also implies that more and more women with diabetes will get pregnant and present a management challenge to the obstetrician. There are effects of pregnancy on glucose metabolism as well as effects of diabetes on the mother and fetus. This study aims to compare maternal &fetal outcome in gestational diabetes with non diabetic pregnancies. Material & Methods: This was a prospective observational study conducted for 12months in Department of OBG, SSMC&RC, Tumakuru. Pregnant women were screened for gestational diabetes mellitus and divided into GDM and non GDM group. Results: This study showed that prevalence of GDM in study population was 4.2%. There was higher incidence of complications like Hypertension, Polyhydramnios, Preterm labour, Infection, Shoulder dystocia & PPH in mothers with GDM compared to non diabetic pregnancies. Higher birth weight was encountered too.
Keywords: Gestational Diabetes Mellitus, Pre eclampsia, Preterm labour, Macrosomia
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Tumakuru, Karnataka, India. 572107
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