FETOMATERNAL OUTCOME OF GESTATIONAL DIABETES MELLITUS IN PRIMIGRAVIDA DELIVERED AT TERTIARY CARE HOSPITAL

Authors

  • Nirmla Vishnoi Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.
  • Rekha Jakhar Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.
  • Ankita Choudhary Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.
  • Monika Bharia Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i8.48598

Keywords:

Feto-maternal outcome, Gestational diabetes mellitus, Primigravida

Abstract

Objective: To determine the Prevalence of gestational diabetes mellitus (GDM) in primigravida and their feto-maternal outcome who delivered at tertiary care hospital in western Rajasthan.

Methods: A retrospective chart review study will be conducted on primigravida delivered at the department of Obstetrics and Gynaecology, MDM Hospital Dr. S. N. Medical College, Jodhpur, Rajasthan, India from May 2022 to December 2022.

Results: The prevalence of GDM in primigravida was 6.42%, maximum occurrence between 34 and 36 weeks of gestation (53.3%). 8.8% of GDM patients had a preterm delivery, out of these 8 women polyhydramnios were seen in 4 women. 49% had lower segment cesarean section and 3% had instrument delivery. preeclampsia was seen in 25.56%, urinary tract infection in 10%, preterm labor was seen in 8.89%, premature rupture of membrane was seen in 5.56% of the study population. 10% of babies were low birth weight. The incidence of congenital anomalies was seen in 6.6%. Intrauterine death was seen in 2 babies who had congenital anomalies.

Conclusion: GDM is associated with adverse complications in both the mother and fetus.

Downloads

Download data is not yet available.

Author Biographies

Nirmla Vishnoi, Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.

Resident, Department of Obstetrics and Gynaecology

Rekha Jakhar, Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.

Senior Professor and Unit Head, Department of Obstetrics and Gynaecology

Ankita Choudhary, Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.

Assistant Professor, Department of Obstetrics and Gynaecology

Monika Bharia, Department of Obstetrics and Gynaecology, Dr. SN Medical College, Jodhpur, Rajasthan, India.

Resident, Department of Obstetrics and Gynaecology

References

Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 2003;26 Suppl 1:S5-20.

National Collaborating Centre for Women’s and Children’s Health. Antenatal Care: Routing Care for the Healthy Pregnant Woman. London: Royal College of Obstetricians and Gynaecology; 1993.

Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol 1982;144:768-73. doi: 10.1016/0002- 9378(82)90349-0, PMID 7148898

American Diabetes Association. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2018. Diabetes Care 2018;41 Suppl 1:S13-27. doi: 10.2337/dc18-S002, PMID 29222373

Langer O. Management of gestational diabetes. Clin Perinatol 1993;20:603-17. doi: 10.1016/S0095-5108(18)30388-9, PMID 8222472

World Health Organization; 2006. Available from: https://www.who.int [Last accessed on 2011 Feb 20].

Michigan Department of Community Health. Community Public Health Agency, Diabetes and Other Chronic Disabling Conditions Section; 1996.

Kalra P, Kachhwaha CP, Singh HV. Prevalence of gestational diabetes mellitus and its outcome in Western Rajasthan. Indian J Endocrinol Metab 2013;17:677-80. doi: 10.4103/2230-8210.113760, PMID 23961485

Seshiah V, Das AK, Balaji V, Joshi SR, Parikh MN, Gupta S, et al. Gestational diabetes mellitus--guidelines. J Assoc Physicians India 2006;54:622-8. PMID 16941793

Wahi P, Dogra V, Jandial K, Bhagat R, Gupta R, Gupta S, et al. Prevalence of gestational diabetes mellitus (GDM) and its outcomes in Jammu region. J Assoc Physicians India 2011;59:227-30. PMID 21755759

Nilofer AR, Raju VS, Dakshayini BR, Zaki SA. Screening in high-risk group of gestational diabetes mellitus with its maternal and fetal outcomes. Indian J Endocrinol Metab 2012;16 Suppl 1:S74-8. doi:10.4103/2230-8210.94268, PMID 22701851

Chanu MM, Syiemleh AJ, Pradhan B, Devi RK. Clinical study of fetomaternal outcome of gestational diabetes mellitus. IOSR J Dent Med Sci 2015;14:53-6.

Capula C, Chiefari E, Vero A, Arcidiacono B, Iiritano S, Puccio L, et al. Gestational diabetes mellitus: Screening and outcomes in Southern Italian pregnant women. ISRN Endocrinol 2013;2013:387495. doi: 10.1155/2013/387495, PMID 24093064

Dudhwadkar AR, Fonseca MN. Maternal and fetal outcome in gestational diabetes mellitus. Int J Reprod Contracept Obstet Gynecol 2016;5:3317-21. doi: 10.18203/2320-1770.ijrcog20163193

Bener A, Saleh NM, Al-Hamaq A. Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: Global comparisons. Int J Womens Health 2011;3:367-73. doi: 10.2147/IJWH.S26094, PMID 22140323

Published

07-08-2023

How to Cite

Vishnoi, N., R. Jakhar, A. Choudhary, and M. Bharia. “FETOMATERNAL OUTCOME OF GESTATIONAL DIABETES MELLITUS IN PRIMIGRAVIDA DELIVERED AT TERTIARY CARE HOSPITAL”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 8, Aug. 2023, pp. 68-71, doi:10.22159/ajpcr.2023.v16i8.48598.

Issue

Section

Original Article(s)