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Category: Volume 06 Issue 08 August 2018
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Title: A Study of Maternal and Perinatal Outcome in Women with and without Gestational Diabetes Mellitus According to International Association of Diabetes and Pregnancy Study Group (IADPSG) Criteria

Authors: Jayashree Mandal, Sharmistha Ganguly, Tapan Kumar Maiti

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.113

Abstract

Introduction: Gestational diabetes mellitus (GDM) complicating pregnancy is gradually becoming more and more common in this part of the world. In India, it is estimated that about 4 million women are affected by GDM at any given point of time[1]. Hence, it is imperative to evaluate the implications of GDM on maternal and fetal health.

Materials and Methods: Between January 2016 to July 2017, a total 108 antenatal ladies were recruited in the study after taking informed consent. The study protocol was pre-approved from the Hospital’s Scientific and Ethical Committee. Antenatal mothers attending OPD between 24-28 weeks of gestation underwent Oral Glucose Tolerance Test (OGTT) with 75 grams of glucose, and subjects were selected according to the IADPSG criteria. They were treated with medical nutrition therapy (MNT) with or without insulin. Maternal and perinatal outcomes in each case was recorded. Data analysed at the end of the study.

Results: Out of 108 recruited mothers, eight lost in follow up. Among the remaining 100 subjects, 23 mothers were diagnosed with GDM. Among them, 52.2% were diagnosed with gestational hypertension, 34.8% with hypothyroidism. 26% of the patients had preterm labour, 30.4% had PROM, 8.7% had IUFD, 43% had a baby weight of >3.5 kgs. 69.6% delivery was done by caesarean section.

Discussion and Conclusion: After applying the universal screening criteria of GDM as per IADPSG criteria, will increase the prevalence of diagnosis of GDM in India. Even after good glycaemic control, complications in GDM mothers in the form of PIH, preterm labour, PROM, prolonged labour and low APGAR score in newborns are often not reduced.

Keyword: Gestational Diabetes Mellitus, IADPSG criteria, maternal and Fetal Outcome.

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Corresponding Author

Jayashree Mandal

Nilratan Sircar Medical College, Kolkata, India

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