Background: Gestational diabetes mellitus (GDM) is characterised by carbohydrate intolerance of varying severity with onset or first recognition during pregnancy. GDM is an important public health problem in India. Method: The present study was carried out in 300 antenatal women. Fasting blood glucose was measured after which they were given 75 g oral glucose and plasma glucose was estimated at 2 h. Patients with plasma glucose >140 mg/dl were labelled as GDM. Thus WHO criteria were used for diagnosing GDM. Data was collected from all subjects on demographic characteristics, socioeconomic status, education level, parity, family history of diabetes and/or hypertension, BMI, etc. and pregnancy outcome was studied. Results: Prevalence of GDM was found to be 8.33%. Gestational diabetes mellitus was found to be significantly associated with age, parity, BMI, socioeconomic status, education level and was also found to be associated with adverse pregnancy outcomes. Conclusion: GDM adversely affects maternal and fetal outcomes and its prevalence is steadily rising. Appropriate interventions are required for its control.
Background: The study was performed with the aim to find out the incidence of post-operative wound infection among the elective and emergency obstetrics and gynaecological abdominal surgeries in the Dept. of OBGY, A.V.B.R.H., Sawangi (Meghe), Wardha with the objectives to identify the risk factors and most common causative microorganism and to study the preventive aspects. Methods: This prospective observational study was carried out in the Dept. of Obstetrics and Gynaecology at Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, India from August 2011 to August 2013. Results: During this period a total of 3475 patients underwent major abdominal surgeries, out of which 213 cases develop post operative wound infections with rate being 6.12%.The rate was found to be higher among the emergency obstetric case (51.17%) with the common risk factors being anaemia, advanced age and diabetes among gynaecological surgeries and prolonged rupture of membranes and previous LSCS and multiparity among obstetric cases. The common causative organism was found to be E. coli (36.15%). Conclusion: The merit of this study was to start the active surveillance of surgical site infections based on standard definitions and methods to be maintained by cooperation of infection control practitioners and surgical team. Identification of risk factors for surgical site infections to encourage the development of recommendations for prevention of SSI in order to achieve the setting goal to reduce the SSI.
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