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Indian Journal of Obstetrics and Gynecology

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Pregnancy outcome in Gestational Diabetes Mellitus (GDM)

G. Baby Shalini, Assistant Professor, Department of Obstetrics and Gynecology, Srinivas Institute of Medical Sciences and Research Centre, Mukka, Surathkal, Mangaluru, Karnataka 574146, India. , B.H. Narayani1 , G. Baby Shalini2

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Indian Journal of Obstetrics and Gynecology 6(6):p 576-580, Nov-Dec 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6618.2

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Abstract

  Background: Glucose intolerance with its first onset or first recognition during pregnancy is called as GDM. Women with GDM are at an increased risk for both maternal and fetal adverse outcome. Aim: To study the pregnancy outcome in women diagnosed with GDM. Materials and Methods: It is a retrospective study in which records were studied by follow up from January 2017 to December 2017.Their demographic features, associated maternal conditions, adverse maternal and perinatal outcome were noted. Results: Out of 2118 records studied total of 56 of GDM patients were detected according to diagnostic criteria. In those patients 54 % belong to the age group 25-30 years. 11% belong to the rural and 89% belong to urban population. GDM patients had a higher incidence of PIH, Hypothyroidism, high incidence of UTI and candidiasis. There was higher incidence of cesarean delivery, higher admissions to NICU. 41.07% of patients had their blood glucose level controlled on diet therapy. Others required oral  hypoglycemic and/or insulin.  Majority of second gravida patients had history of GDM in previous pregnancy. Conclusion: Incidence of GDM is on rise, as it is associated with adverse maternal as well as adverse fetal outcome, early diagnosis and a good control of blood sugar levels should be done in order to achieve optimal maternal and perinatal outcome.  

Keywords: Gestational Diabetes (GDM); Gestational Hypertension; Cesarean Section; Birth Weight; NICU.  

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6618.2

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