Feto-maternal outcome in Gestational Diabetes Mellitus

Abstract

Background : Gestational diabetes mellitus (GDM) is a growing global public health problem that can have shortand
long-term health consequences for the mother and the child. Much controversy surrounds the diagnosis and
management of gestational diabetes, emphasizing the importance, relevance and consequences. If newly
proposed criteria are adopted universally a significantly growing number of women will be diagnosed as having
GDM, implying new therapeutic challenges to avoid fetal and maternal complications related to the hyperglycemia
of gestational diabetes. Due to the lack of knowledge on GDM and the fact that diabetes and obesity are high in
India, this study includes the challenges of screening and diagnosis, the treatment and prevention of GDM and the
long and short term consequences of gestational diabetes for both mother and offspring.
Methodology : A study was done between Augest 2017 to Augest 2018. A total of 55 patients were included in the
study.
Results : The incidence of gestational diabetes mellitus is about 17.8%. Majority of the patients were primi para
between 25-29 years age group.25.45% patients had family history of diabetes. Majority of the patients showed
good response to insulin. 52.72% patients had vaginal delivery and 47.27% patients had LSCS.
Conclusion : Gestational Diabetes Mellitus can be treated and have a better outcome by Pre-pregnancy
counseling, good glycaemic control, regular antenatal care, proper monitoring of blood glucose level and timely
management which can reduce maternal and fetal morbidity and mortality.