DOI: 10.36347/sjams.2019.v07i01.063

Pages: 351-356

Diabetes epidemic has been largely impacted by Gestational diabetes mellitus (GDM). Our aim is to determine the association of risk factors and maternal outcome in women with gestational diabetes mellitus diagnosed using Diabetes in Pregnancy Study Group of India (DIPSI) method. A prospective time bound study conducted in rural Maharashtra (India). Out of 487 antenatal women, 52 women were diagnosed with gestational diabetes mellitus. All women were followed up till delivery, evaluated for maternal outcome and managed accordingly. Appropriate statistical tests for various variables were applied by using statistical analysis program of Epiinfo-7 software. Occurrence of GDM in Gravida 3 and above were significantly higher than in primigravida. Amidst, risk factors of GDM, women with age above 25 years, family history of diabetes, previous abortions, and previous macrosomic babies were significantly associated with GDM. Among maternal outcomes, abortions (3.8%), PIH (28.8%), polyhydramnios (9.6%), candidiasis (13.5%), UTI (9.6%) were found to be statistically significant. Cesarean rates (60%) and Postpartum Hemorrhage (19.2%) were significantly higher among GDM women. GDM is associated with higher maternal morbidity hence early diagnosis and treatment is recommended. Identification of risk factors may curtail subsequent complications in present pregnancies.