scholarly journals Study of Maternal and Fetal outcomes in Gestational Diabetes Mellitus

2021 ◽  
Vol 12 (3) ◽  
pp. 1932-1938
Author(s):  
Niharika G S ◽  
Mariya P Sunny ◽  
Maedeh Maghrourzefreh ◽  
Ann Nema Thomas ◽  
Malini Muraleedharan Nair ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Control Measures ◽  
Medical Complication ◽  
Fetal Outcomes ◽  
Poor Knowledge ◽  
Collection Form ◽  
High Bmi

Gestational Diabetes Mellitus (GDM) is one of the most common medical complication in pregnancy and is a severe and neglected threat to maternal and  child health. The objective of this study is to investigate risk factors, and maternal and fetal outcomes of GDM. This helps us understand if every pregnant woman should be made aware of GDM and its control measures, to reduce its incidence and complications associated with it. This was a hospital-based prospective observational study carried out for 6 months, in in-patients of the  Obstetrics and Gynaecology Department. 65 subjects were recruited based on our inclusion and exclusion criteria. Consent was collected. Necessary details were gathered using the self-designed data collection form and validated questionnaires. Based on the data collected, descriptive and inferential statistics were performed. According to our study major risk factors identified were increased maternal age, multigravida, high BMI, and poor knowledge, attitude, and practice (KAP) towards GDM. The most common maternal complication observed was maternal distress 55(84.61%). The most common fetal complication was low APGAR score at 1 min 20(30.77%). A moderate  positive correlation was observed between the level of knowledge and practice towards GDM which was statistically significant. According to our study there are modifiable risk factors including high BMI and poor knowledge about the disease. Pregnancies complicated with GDM are associated with adverse maternal and fetal outcomes. Thus, there is a need to create awareness about GDM and its control measures, among pregnant women and women planning for pregnancy.

scholarly journals Gestational Diabetes Mellitus Knowledge Assessment among Saudi Women

2018 ◽  
Vol 6 (8) ◽  
pp. 1522-1526 ◽  
Author(s):  
Ahmad S. Alharthi ◽  
Khalid A. Althobaiti ◽  
Khaled A. Alswat
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Saudi Arabia ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Urban Areas ◽  
Good Knowledge ◽  
Prior History ◽  
Poor Knowledge ◽  
Validated Questionnaire

BACKGROUND: IDF estimates that 16.2% of women giving live births in 2015 had some form of hyperglycemia during pregnancy. In Saudi, a study estimated that the prevalence of gestational diabetes mellitus (GDM) is 39.4%.AIM: We aimed to assess Saudi women's GDM knowledge and awareness.METHODS: A cross-sectional study was conducted between August and December 2016 in Saudi Arabia using a validated questionnaire that included 12 questions focused on awareness and knowledge about GDM. Their responses were scored, and participants were divided poor knowledge (≤ 4/12) fair/good knowledge (≥ 5/12).RESULTS: A total of 9002 adult female participated. Mean age was 27.8 ± 7.9, and they were mainly married urban residents with bachelor's degrees or higher. The mean overall score was 5.5 ± 2.5 with most of them in the fair GDM knowledge category. Participants were mostly aware of the GDM risk factors (54%) while they were least aware of the GDM diagnosis (15.9%). Multigravida and a prior history of GDM were the two risk factors about which participants were most aware (67.7%). Compared to those with poor knowledge, those with fair/good knowledge were more likely to live in urban areas, live in the central region of Saudi Arabia, work in medical fields, and be married, educated, and have personal and/or family histories of chronic diseases (all P values < 0.001).CONCLUSION: Our study showed a high prevalence of poor awareness and knowledge, mainly in those areas relating to GDM diagnosis.

1357-P: Gestational Diabetes Mellitus: Postpartum Metabolic Outcome and Risk Factors Involved

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1357-P
Author(s):  
JESICA D. BARAN ◽  
MARCELA I. ARANGUREN ◽  
MARIA X. TAPPER ◽  
MARIA S. PAREDES ◽  
MARIA BELEN GENTILE ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Metabolic Outcome

scholarly journals Analysis of risk factors related to gestational diabetes mellitus

2020 ◽  
Vol 59 (5) ◽  
pp. 718-722
Author(s):  
Fang Li ◽  
Ying Hu ◽  
Jing Zeng ◽  
Li Zheng ◽  
Peng Ye ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus

scholarly journals Study of Risk Factors for Conegnital Heart Defect in a Tertiary Level Hospital

2018 ◽  
Vol 27 (1) ◽  
pp. 51-56
Author(s):  
Ferdousi Hossain Poly ◽  
Syeda Afroza ◽  
Hasanur Rahman ◽  
Md Imran Hassan
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Maternal Age ◽  
Congenital Heart ◽  
Heart Defects ◽  
Medical College ◽  
History Of ◽  
The Difference

A congenital heart defect is a heart problem which is present at birth, caused by improper development of the heart during fetal development. In majority of cases there is no known reason for the heart to develop improperly. Some type of congenital heart defects are related to chromosomal abnormality(5-6%), some are to single gene defect(3-5%) or environmental factors(2%). In 85-90% of cases there is no identifiable cause and are generally considered to be caused by multifactorial inheritance. There are some maternal factors which have some role in cardiovascular malformations. These include high maternal age(above 30 years), maternal obesity, consanguinity among the parents, fever during pregnancy, gestational diabetes mellitus, smoking, alcohol consumption, ingestion of any teratogenic drug including homeopathy and herbal medicine. Objective of the study: To evaluate the risk factors associated with congenital heart disease. Methodology: A case control study was conducted at paediatric department of Sir Salimullah Medical College & Mitford Hospital following approval of the protocol from 1st January 2013 to 30th June 2014. Children fulfilling the inclusion criteria-(0-5 year old children of both sexes admitted in paediatric units of Mitford Hospital with any type of congenital heart disease confirmed by echocardiography) were considered as cases. A similar number of age and sex matched children admitted in Mitford Hospital without any cardiac defect were considered as controls. Data were collected by questionnaire. Results: The results show that majority of the cases are male. Maternal age (27.09 ± 4.63) and BMI (24.10 ± 2.28) both are significantly higher in cases than those of controls. Among the cases 31.8% mothers had consanguineous marriage (p=0.001) and 27.1% mothers had history of fever during pregnancy whereas it was present in 9.3% mothers of controls, the difference is significant statistically (p=0.001). Among the cases 34.6% mothers had history of gestational diabetes mellitus and only 18.9% controls had so and the difference is significant statistically (p=0.014). Conclusion: Relatively old age and more weight during pregnancy, consanguinity between parents, fever during pregnancy, history of gestational diabetes mellitus are the main risk factors of congenital heart defects in children J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 51-56

scholarly journals Risk factor for gestational diabetes mellitus and impact of gestational diabetes mellitus on maternal and fetal health during the antenatal period

2021 ◽  
Author(s):  
Uma Jain ◽  
Kusumlata Singhal ◽  
Shikha Jain ◽  
Deepali Jain
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Congenital Malformation ◽  
Fetal Health ◽  
Antenatal Period ◽  
Study Results ◽  
History Of ◽  
The Impact

Background: Gestational diabetes mellitus (GDM) is defined as any degree of dysglycaemia that occurs for the first time or is first detected during pregnancy. The adverse effects of GDM on pregnant women are pre-eclampsia, PIH, PPH, polyhydramanios, PROM, meanwhile, there would be an increase in dystocia, birth injury, and cesarean sectionMethods: This retrospective study was conducted in a Gynecology clinic in District Shivpuri to find out the various risk factors for GDM and to evaluate the impact of GDM on maternal and fetal health during the antenatal period. 84 patients who were diagnosed with GDM were included in the study. Results: Among risk factors; BMI >25 kg/m2 before pregnancy was found in 15.47% of the case, family history of diabetes mellitus 8.33%, Previous history of macrosomia 17.85%, Poor reproductive history 17.85%, baby with congenital malformation 8.33%, H/o unexplained IUFD 11.90%. H/o polyhydramnios 15.47%. History of PCOS 13.09% and preeclampsia was found in 17.85% of cases. In antenatal complications; miscarriages was found in 15.47%. polyhydramnios in 17.85%. Oligohydramnios in 8.33%, preterm labor in 11.90%, PROM in 9.52%, pre-eclampsia in 17.85%, sudden IUFD in 8.33% and congenital malformation was found in 4.76% of cases. On USG; IUGR was found in 7.14% of cases. Large for date fetus in 16.66% of cases and the normal growth was found in 76.19% of cases.Conclusions- In conclusion appropriate and timely diagnosis and treatment of GDM will result in decreased maternal and neonatal adverse outcomes comparable to general population rates, therefore, early diagnosis is important.

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