Abstract

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 1^st October 2019 to 30^th 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.