Keywords : medical nutritional therapy
Maternal and Perinatal Outcome in Gestational Diabetes Mellitus at a Tertiary Care Centre
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 2570-2578
Aim of study: To study Clinically Maternal and Perinatal Outcome in Gestational Diabetes Mellitus at a Tertiary Care Centre.
Material & Methods: A Prospective observational study was conducted inthe labour room , Depatment of Obstetrics and Gynecology at a tertiary care hospital , during 1st October 2019 to 30th September 2021. In this study we enrolled 120 cases during two years. All pregnant women diagnosed as GDM and delivering in our hospital were included.
Observation & Results: 47(39.17%) pregnantwomen with GDM were from age-group of 21-25 years. Majority of the cases of GDM i.e.34(28.3%) were associated withDiabetes in first degree relatives. Most frequent antepartum maternal complication seen was pre-term found in 32 (26.7%). In intrapartum, 3(2.5%) pregnant women were foundto have Cervical Tear and postpartum, Post operative wound infection (Purpural Sepsis) was observed in 3(2.5%) pregnant women and 07(5.8%) had Postpartum hemorrhage. Most frequent maternal complication in pregnant women with GDMwhich was observed wasPreterm labour i.e. 32(26.7%). Among foetal complications , maximum i.e. in 11(9,2%) GDM pregnant women, Intrauterine foetal death was observed and 02(1.7%) were IUGR and 01(0.83) reported Shoulder Dystocia. 14(11.7%) pregnant women reported perinatal mortality.
Conclusion: Screening for GDM should be done at the first antenatal visit. Precise control of blood sugar right from the beginning of pregnancy assures a good maternal and neonatal outcome. Gestational Diabetes Mellitus is a high risk pregnancy and should be delivered at a tertiary care centre or a centre equipped with all the facilities needed.