Fetal outcome in Gestational Diabetes Mellitus

Gestational diabetes mellitus is defined as glucose intolerance diagnosed for the first time during pregnancy and usually disappears during puerperium⁶

The aim of the study is to assess maternal& fetal outcome in gestational diabetic women.

To assess the maternal & fetal complication of pregnant women with gestational diabetes mellitus compared with non diabetic patients who delivered in hospital during study period.

The present study was carried out in the department of Obstetrics and Gynecology SIMS, Hapur. The cases of normal uncomplicated pregnancy were selected from the antenatal clinic &general outpatient department.

Screening for GDM was performed B/w 24–28 wks of gestational age by 50 gm glucose challenge test given orally to the patient at any time of the day, with serum glucose measured at 1 hrlater.if glucose level of one hour was > 140 mg/dl; the patient underwent a 3hr 100gm oral glucose tolerance test^{2, 3, 4}.

In our study there was significantly increased incidence of caesarean section, pre-eclampsia, preterm vaginal delivery, induction of labour and rate of NICU admission 16.12%(p value.00082062) were also high and statically significantly associated in GDM patients. Among our diabetic patients there was no perinatal mortality, no congenital malformation in the fetus. This could be achieved with universal screening of all pregnant patients leading to early diagnosis, strict monitoring and management of these patients.

There was no incidence of post partum bleeding and infection in our study. We recommend universal screening procedure for all pregnant patients at 24–28 wks of pregnancy¹⁸