Prevalence of Gestational Diabetes Mellitus and Evaluation of its Maternal and Neonatal Outcome

Abstract

Abstract INTRODUCTION Woman with GDM also has increased risk of gestational hypertension, preeclampsia and operative delivery and their associated morbidities. Prevalence ranges from 3.8-21% in different parts of India and is seen to be more prevalent in urban areas compared to rural areas2. AIMS & OBJECTIVES To study the prevalence of Gestational Diabetes Mellitus and to Study the maternal and neonatal outcome in Patient with Gestational Diabetes Mellitus who delivered in SMIMS Kulasekharam. MATERIALS AND METHODS Study Design – Cross Sectional study. Study Period – 1st June 2013 to 31st June 2014. Place of Study - antenatal women attending the OPD at Sree Mookambika Institute of Medical Sciences, Kulasekharam, District Kanyakumari, Tamil Nadu, India. Sample Size= 205. Sampling Technique – Systematic sampling. Inclusion criteria - Two hundred and five antenatal women attending the OPD with gestational age between 24-28 weeks were recruited. Exclusion Criteria -Pregnant women with overt / pregestational diabetes were excluded. Statistical test used are mean, SD, chi square test. RESULTS The mean age of the patients was 25.6 years. BMI >25 kg/sq.m, family history of diabetes, previous macrosomia or LGA baby or past history of GDM have strong association with prevalence of GDM (p 3.5 kg in the neonate with p 3.5 kg) in the neonates with p <0.001 4) Incidence of respiratory distress, transient Tachypnea of the newborn , Polycythemia and neonatal hyperbilirubinemia were also very high significantly associated with neonates born to GDM women with p < 0.001 Keywords - Prevalence, Gestational Diabetes Mellitus (GDM), delivery, neonate.