Introduction- Diabetes is one of the most common medical complication of pregnancy. It complicates 2 to 5% of pregnancies of which 90% is contributed by gestational diabetes mellitus and rests are pregestational diabetics. AIMS and OBJECTIVES- To study fetomaternal outcome in patients with gestational diabetes mellitus at a tertiary care centre. Material and method- This retrospective record based study included 46 pregnant women admitted in labor room in Department of Obstetrics and Gynecology between August 2022 to September 2023. Data collection was done from the records maintained by hospital, after permission from the Institiutional Ethical Committee. The diagnosis of GDM was based on DIPSI criteria with cut off value of ≥140 mg/dl done either at initial visit or at 28 weeks . Collected details includes their glycemic status, details of the treatment, mode of delivery, delivery complications, pre-mature births, still births, abortions, birth weight of the child, neonatal ICU admissions. Data were recorded in the excel sheet and descriptive analysis was performed and results were expressed in number and percentages. Results- Incidence of GDM in our study was 3.06 % and mostly required insulin (54.3%), followed by medical nutritional therapy (43.5%) and metformin (13.04%). The most common maternal complication was found to be preterm labor (32.6%) followed by pre-eclampsia and prematurity was the most common fetal complications. Most of the patients in our study delivered by caesarean section (78.3%) with previous caesarean section being the most common indication (44.4 ). Conclusion- GDM is linked to an increased risk of maternal, fetal, and neonatal problems such as PIH, premature birth, instrumental deliveries, IUFD, Macrosomia, etc. Educating patients about regular prenatal care and good blood glucose monitoring are critical steps in reducing maternal and fetal problems.
Impact Factor
2022: 6.012
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