Fetomaternal outcome in women with gestational diabetes mellitus

Fareed, Perveena; Siraj, Farhana; Lone, Kouser Sideeq

doi:10.18203/2320-6012.ijrms20174001

Cited by 4 publications

(8 citation statements)

References 10 publications

(10 reference statements)

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“…This may be attributed to the increased level of insulin resistance, high levels of circulating a dipokines and inflammatory markers, and oxidative stress may be responsible for this association. 13 Mean BMI in the study population was found to be 23.28±3.61 kg/m 2 and for GDM population was 28±5.14 kg/m 2 . The prevalence of GDM increased with BMI (P=0.007).…”

Section: Discussionmentioning

confidence: 70%

“…This is consistent with the findings by Nayak et al, 10 as women with GDM were older as compared to the non-GDM women (25.67 vs. 24.24, P=0.08); however, difference was not significant. Song et al, 11 also found that women with GDM were significantly higher in age than those 13 found that there were significantly more women with GDM in >35 years age group than those without GDM (21 vs. 9, P=0.004955). Advanced maternal age is reported to be an independent risk factor for GDM.…”

Section: Discussionmentioning

confidence: 90%

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Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Dutta¹,

Bharti²

2022

Asian J Med Sci

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Background: Gestational diabetes mellitus (GDM) is associated with hypertension, preeclampsia, stillbirth, macrosomia, unexplained intrauterine death, instrumental and traumatic delivery leading to both maternal and foetal injuries, and increased risk of maternal and neonatal infections. The present study was conducted at Rajendra Institute of Medical Sciences, Ranchi to determine the prevalence of Gestational Diabetes Mellitus(GDM) and its associated risk factors in tribal population of Jharkhand. Aims and Objectives: The aim of the study was to determine the prevalence of GDM and to analyze its association with various risk factors. Materials and Methods: Detailed history of all patients was taken with emphasis on genetic and family history and history of the previous pregnancies. All the patients were screened by the single step 75 gm 2 hours oral glucose tolerance test (OGTT) as recommended by the World Health Organization. GDM was diagnosed if 2 hours PG is ≥140 mg/dL. Results: Most patients of GDM were from upper middle class 45.45%, followed by lower middle class (27.27%) and upper lower class (18.18%). For the non-GDM patients, most patients were from upper lower class (55.055%), followed by upper middle (24.71%). The prevalence of GDM was 12.12 % in the tribal population as compared to non-tribal population (10.44 %). In present study, in majority (89.00 %) of study subjects, result of 75 gm OGTT was negative. Result of 75 gm OGTT was positive in only 11 out of 100 study subjects (11.00 %). Conclusion: Tribal population in Jharkhand has very poor access to health-care services of the state. This study is first of its kind in our state which will set as an eye opener to further deliver better health-care facilities at grassroot level in Jharkhand.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 90%

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Dutta¹,

Bharti²

2022

Asian J Med Sci

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“…2 of the births for the GDM group were stillbirths. (11) , 86% of the GDM group mothers were at risk based on their age over 25 years and overweight concluding that proper screening and early knowledge of the risk factors does play a humungous role in reducing maternal and fetal complications in Gestational Diabetes Mellitus.…”

Section: Primi Multimentioning

confidence: 99%

A Study of Fetomaternal Outcome of Pregnancy in Mothers with Gestational Diabetes

Agrawal¹

2019

jmscr

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Introduction: Gestational diabetes mellitus (GDM) is defined as glucose intolerance diagnosed for the first time during pregnancy (1) . Indian women have an eleven fold increased risk of developing glucose intolerance during pregnancy compared to Caucasian wome .(20 . Studies suggest there would be a further increase to 20% in incidence rates. Gestational Diabetes not only plays a role in altering the immediate maternal and fetal outcomes but also increases the risk of type 2 diabetes in the future for both mother (A relative risk of 7.43) (3) and the baby (4) . Methods: A cohort study conducted in 202 patients consisting of 101 patients of pregnant women with GDM risk and normal pregnancy each at Department of Paediatrics, Hitech Medical college, Bhubaneswar over a period of 2 years. Results: Major outcomes included 83(82.2%) women having gestational diabetes had underwent Cesarean Sections and had 4 macrosomic babies. The babies of these mothers also had the most tendencies to develop hyperbilirubinemia and accounted for a total of 19 NICU admissions with 2 stillbirths. Conclusion: Gestational Diabetes Mellitus is associated with significant maternal and fetal outcomes.

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“…6 Fetal complications likely to develop are macrosomia, IUD, malformation includes anencephaly, spina bifida, transposition of great vessels, VSD, renal agenesis, caudal regression syndrome, RDS, hypoglycemia, hypothermia, hyperbillirubinemia, hypocalcemia, hyperviscicity. 7 Maternal complications includes a) Antepartam:…”

Section: Introductionmentioning

confidence: 99%

Fetomaternal outcome in patients with diabetes mellitus in pregnancy

Shingala¹,

Shah

Vyas

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Diabetes mellitus (DM) is defined as increased blood glucose level due to defect in insulin secretion, insulin action or both. Undiagnosed or inadequately treated diabetes mellitus during pregnancy can lead to significant maternal and fetal complications. The study was conducted to review feto-maternal outcome in pregnancy with diabetes and to plan management of pregnancy with diabetes and to study the modalities for treatment of DM in pregnancy.Methods: A prospective case study was conducted from July 2015 to December 2018 at a tertiary care center. Study group used single step 75gm oral glucose tolerance test (OGTT) test recommended by WHO for GDM diagnosis.Results: GDM (85%) was more common than overt diabetes (15%) and in younger age group (53.75%) and Multiparous patients (18.2%). Most of patients required insulin (81.2%) for treatment of DM during pregnancy along with medical nutrition therapy and exercise. Most common association in this patient was hypertension (41%). Rate of caesarean section (60%) was more common. Average birth weight was of >3.5 kg, intrauterine death (4.2%), preterm delivery (14.2%) and admission to NICU were also common.Conclusions: There was significant fetomaternal morbidity in patients with diabetes mellitus. Early diagnosis and treatment reduces the fetomaternal outcome.

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Fetomaternal outcome in women with gestational diabetes mellitus

Cited by 4 publications

References 10 publications

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

A Study of Fetomaternal Outcome of Pregnancy in Mothers with Gestational Diabetes

Fetomaternal outcome in patients with diabetes mellitus in pregnancy

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