Feto-maternal Outcome in Patients with Gestational Diabetes Mellitus in Western India: A Two Years Follow up Study
Journal Title: Iranian Journal of Diabetes and Obesity - Year 2018, Vol 10, Issue 3
Abstract
Objective: Untreated gestational diabetes mellitus (GDM) may lead to increased risk of macrosomia, congenital anomalies, unexplained stillbirth, hypoglycemia and jaundice in newborns. This prospective study was conducted to evaluate feto-maternal outcome in women with GDM. Materials and Methods: Two hundred pregnant women underwent 75grams glucose challenge test according to Diabetes in Pregnancy Study of India (DIPSI) criteria. All 26 GDM patients were managed by medical nutrition therapy (MNT), metformin and insulin. Monitoring was done through six-point and seven-point plasma glucose profile, anomaly scan between 18-20 weeks, every three weeks fetal sonography after 28 weeks, fetal echocardiography at 25 weeks, weekly non-stress test and amniotic fluid index after 32 weeks. Descriptive statistics and chi square were used to analyze data. Results: Mean (±SD) age of studied patients was 24.26 (± 3.75) years. Two (7.6%) patients with GDM developed vaginal candidiasis. Six (23.7%) patients underwent caesarean and two (7.6%) underwent vacuum-assisted delivery. One (3.8%) underwent spontaneous abortion. Neonatal outcome was affected by hyperbilirubinemia (12%) in three and shoulder dystocia in one (3.8%) neonate. Conclusion: Timely screening of all pregnant women for glucose intolerance, achieving euglycemia in them and ensuring adequate nutrition can reduce adverse feto-maternal outcomes and promote healthy families. The successful maternal, perinatal and neonatal outcome rests on both the obstetrician’s intrepidity and patients’ awareness of her condition, its implications, management and long term prospects.
Authors and Affiliations
Shazia Khan, Himadri Bal, Danish Khan, Debashish Paul
Keywords
Related Articles
- EP ID EP636055
- DOI -
- Views 48
- Downloads 0
The Effect of Foeniculum VULgare (Fennel) Extract on Lipid Profile, Lipid Peroxidation and Liver Enzymes of Diabetic Rat
Objective: Diabetes Mellitus (DM) is one of the leading causes of death, illness, and economic loss in the world. The present study was attempted to evaluate extract of Foeniculum vulgare (fennel) on lipid profile, lipid...
Bulimia in Diabetic Patients: A Review on Diabulimia
Objective: Eating disorder (bulimia) is common in young diabetic patients which may influence insulin levels. To reduce calories by manipulating insulin is known as Diabulimia. The purpose of this paper is to define Diab...
Distribution of ABO and Rh Blood Groups among Diabetes Type 2 Patients in Yazd Diabetes Research Center (2015-2016)
Objective: Blood group as a genetic trail can be associated with type 2 diabetes. The aim of this research was to determine the distribution of ABO frequency and RH blood groups in type 2 diabetic patients referred to Ya...
Comparison of Experiential Avoidance, Explicit and Implicit Attraction Beliefs in Obese and Normal Weight Females
Objective: The aim of this study was to compare the experiential avoidance, explicit and implicit attraction beliefs in obese and normal body mass index (BMI) females. Materials and Methods: This was an analytic cross s...
New Insight into the Relation between Adiponectin and Diabetes
Diabetes mellitus is a group of metabolic diseases. Insulin resistance is defined as a state that needs more insulin to get the biological effects achieved by a lower amount of insulin in the normal state. Several molecu...