Gestational diabetes mellitus and pregnancy outcomes at a tertiary care centre of eastern Uttar Pradesh

Abstract

Diabetes is one of the most common medical complications of pregnancy. It complicates 2 to 5% of pregnancies of which 90% is contributed by Gestational Diabetes Mellitus (GDM). Objectives: To study the prevalence of GDM and compare the fetomaternal outcomes with the normal antenatal population.Methodology: This was an analytical study conducted on 350 pregnant women attending antenatal OPD irrespective of gestational age. Each woman was tested for glucose intolerance according to DIPSI criteria for GDM. A value of 140mg/dl or more was used for diagnosis of gestational diabetes. Feto-maternal outcomes of all pregnancies were analysed.Results: Out of 350 patients screened in the study, 91 women were diagnosed as GDM, which gave a prevalence of 26%. Overall percentage of complications in pregnancy was higher in GDM group as compared to non GDM group.Conclusion: GDM has detrimental effects on mother as well as fetus. Hence early detection and treatment would reduce the fetomaternal morbidity and mortality.