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Maternal And Fetal Outcome In Gestational Diabetes Mellitus

Author: 
Sushma Singh
Subject Area: 
Health Sciences
Abstract: 

Objective: To determine the maternal and fetal outcomes in mother with gestational diabetes mellitus attending antenatal clinics in VIMS, Pawapuri. Design – This was a cohort study. Participants – (ninety) 90 mothers with gestational ages between 24 – 32 weeks were recruited from may 20 15 to Feb 2016. They were followed up to the time of delivery. The WHO criteria for the diagnosis of gestational diabetes was used. Thirty mothers with a 2 hours’ postprandial capillary blood sugar more than 140mg /dl were the expose group & mothers with <140mg/dl were the unexposed group. Blood Sugar was measured by one touch glucometer. Outcome variables: Sociodemographic characteristics maternal complications mode of delivery & the fetal outcomes. Results: The mean ages of both groups were similar 28.6 years various 27.5 years. Both had BMI more than 26. The mothers of GDM were four times more likely to have hypertensive disease (v= 0.04) & nine times more likely to have a vaginal candidiasis. The indications of caesarean section in mothers with GDM were two times more likely to be due to big babies and obstructedlabors. The babies for Mothers. With GDM were more likely to be macrocosmic, still birth and have shoulder dystocia than those of normal mothers. Conclusion: Gestation diabetes mellitus is associated with adverse maternal and fetal outcomes. There is need to routinely screen mothers for gestation diabetes.

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