DOI: 10.36347/sjams.2022.v10i06.020

Pages: 995-1000

Objective: Gestational diabetes mellitus (GDM) is one of the major public health issues in developing countries. It occurs in 2-9 percent of all pregnancies [4-6]. The present study is aimed to determine whether maternal and neonatal outcomes in GDM women are different from those in the general obstetric population. Methods: This descriptive Observational study was conducted jointly in the departments of Obstetrics Gynecology and Medicine, Nightingale Medical College, Ashulia from 1st January 2014 to 31st December 2016 (3 years). Fifty pregnant woman diagnosed by OGTT as GDM and fifty healthy pregnant women were enrolled as study subjects. They were followed regularly at the outpatient departments until delivery for detection of maternal and fetal outcome. Results: Women with GDM were significantly older (mean age 31.5) than healthy pregnant women group (mean age 25.3). Multiparty, increased BMI and positive family history of DM were found commonly in GDM women than control group. GDM women were more prone to develop pregnancy induced hypertension (36% vs 20%), premature rupture of membrane (30% vs 14%), preterm labour (30% vs 10%) as compared to non GDM group. Rate of cesarean section was not significantly higher in GDM women than healthy women (64% vs 56%). Regarding neonatal complications there was increased risk of hyperbilirubinemia (46% vs 16%), hypoglycemia (20% vs 0) and macrosomia (30% vs 10%) in neonates of GDM women than those of non GDM women. Conclusion: Our study indicates that maternal and neonatal complications are more in GDM women than healthy population. So early detection of GDM and multidisciplinary approach of treatment in the form of dietary advice, lifestyle modification, and insulin therapy can reduce adverse outcomes without increasing the rate of cesarean section.