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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study and Evaluate the Maternal Fetal and Perinatal Outcome in Patients Diagnosed with Gestational Diabetes Mellitus Considering the Type of Treatment and Control Achieved

Manisha M. Kumbarwar, Gajanan R. Aitwar and Kaizad R. Damania
Page: 215-219 | Received 31 Dec 2023, Published online: 25 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.215.219

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Abstract

Background: Gestational Diabetes Mellitus has been found to be associated with various maternal complications like pre-eclampsia, polyhydramnios, recurrent urinary tract infections, type 2 diabetes later in life, fetal complications including sudden intrauterine fetal death, macrosomia, respiratory distress syndrome, hypoglycemia, hypocalcemia. The off-springs will have a life-long increased risk of glucose intolerance, obesity and metabolic syndrome. Methodology- The study was conducted in a teaching hospital in Mumbai. 500 pregnant women were enrolled and screened for Gestational Diabetes Mellitus by doing Oral Glucose Tolerance Test. Pregnant women with high risk factors and those who register late (>28wks) were directly evaluated by Oral Glucose Tolerance Test and treatment offered as per the algorithm. Results- 11 patients with fetal congenital anomalies 3(2.9%) were identified. Out of 105 babies 32 (30.5%) were admitted to NICU, 8 were pre-term (25%), 8 for baby blood sugar monitoring in view of Gestational Diabetes Mellitus mother on Insulin (25%), 7 with Meconium Stained Amniotic Fluid for observation (22%), fetal distress 4 (13%), Low Birth Weight with Preterm 2 (6%), others were 3(9%). Conclusion- In spite of appropriate glycaemic control, the Macrosomia is high in the Gestational Diabetes Mellitus population. Sudden unexplained still birth can occur in spite of a well glycemic control. The cases with Gestational Diabetes Mellitus are associated with co-morbidities like Subclinical Hypothyroidism.

How to cite this article:

Manisha M. Kumbarwar, Gajanan R. Aitwar and Kaizad R. Damania. Study and Evaluate the Maternal Fetal and Perinatal Outcome in Patients Diagnosed with Gestational Diabetes Mellitus Considering the Type of Treatment and Control Achieved.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.215.219
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.215.219