Prevalence of gestational diabetes mellitus among antenatal mothers attending a tertiary care center in Guntur

Serum uric acid has been recommended to screen gestational diabetes during pregnancy. Objective: Prediction of gestational diabetes by serum uric acid levels at 17-20 weeks. Methods: Eighty pregnant women who reported to the antenatal OPD at 17-20 weeks of period of gestation were enrolled in the study over the period of one year from Jan 2018 to Dec 2018 at Department of Obstetrics & Gynaecology Dr Rajendra Prasad Govt. Medical College, Kangra at Tanda, Himachal Pradesh, India. Results: Out of 8 patients, who developed GDM 4 (50%) had serum uric acid >3.5 mg/dl and 4 (50%) had serum uric levels <3.5 mg/dl. And the sensitivity of serum uric acid was 50% and specificity was 67%. Out of 8 patients, who developed GDM 4 (50%) had serum uric acid >3.5 mg/dl and 4 (50%) had serum uric levels <3.5 mg/dl. And the sensitivity of serum uric acid was 50% and specificity was 67%. Conclusion: Serum uric acid can be used to predict gestational diabetes. Keywords: Serum uric acid, gestational diabetes mellitus.

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A study of gestational diabetes mellitus and fetal outcome in a tertiary care center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20203334 ◽

2020 ◽

Vol 9 (8) ◽

pp. 3417

Author(s):

Aashka M. Mashkaria ◽

Babulal S. Patel ◽

Aastha M. Mashkaria ◽

Akshay C. Shah ◽

Shashwat K. Jani ◽

...

Keyword(s):

Diabetes Mellitus ◽

Early Diagnosis ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Care Center ◽

Tertiary Care ◽

Tolerance Test ◽

Fetal Outcome ◽

Oral Glucose ◽

Glucose Levels

Background: Modern desk-bound lifestyle and unhealthy dietary changes have brought a rise in the prevalence of obesity and gestational diabetes mellitus (GDM). It is associated with severe hazards to the mother and the baby. It is mandatory that early diagnosis ensues and timely and congruous management is undertaken.Methods: In this observational study, 1250 women were included. A standardized questionnaire was formed and their details were noted. Tests for glucose levels, complete blood picture, urine examination were performed. An oral glucose tolerance test was performed on all the patients. Neonatal outcomes in terms of birth weight and the presence of complications were noted.Results: A total 201 (16.1%) of all women were having gestational diabetes mellitus (GDM). Most mothers were in the 25-30 age group. The majority of the women had a BMI between 26-30. 21.9% of babies were having weight >3.5 kgs. 11.4% of babies were <2.5 kgs. Out of 201 neonates, 90 babies were having complications. Major complications in neonates were macrosomia and respiratory distress. Therefore, early diagnosis, glycemic control, and timely and congruous management are advantageous to both mother and baby.Conclusions: GDM complicating the pregnancy results in a higher prevalence of complications in the mother and the neonate. Therefore, appropriate control of the sugar level in mothers is necessary and it decreases the morbidity and mortality rates in the babies as well as the mothers.

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A study comparing non-gestational diabetes mellitus and gestational diabetes mellitus in antenatal patients in a tertiary care center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200900 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1201

Author(s):

Preeti Sharma ◽

Neeta Chaudhary ◽

Suchitra Singh

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Gestational Age ◽

Perinatal Outcome ◽

Analytical Study ◽

Care Center ◽

Tertiary Care ◽

Medical College ◽

One Year

Background: Gestational diabetes mellitus is defined as any glucose intolerance with the onset or first recognition during pregnancy. Objectives of this study were to diagnose cases of GDM by screening with DIPSI criteria at less than 28 weeks. And observation and comparison of maternal and perinatal outcome in women diagnosed of GDM in less than 20 weeks and at 24-28 weeks.Methods: This was the prospective analytical study conducted in the department of obstetrics and gynecology for one year in Muzaffarnagar medical college and Hospital. After history taking, clinical and obstetrics examination 1503 antenatal patients of less than 28 weeks were enrolled underwent screening with DIPSI criteria. Out of which 80 patients with abnormal OGTT of gestational age less than 20 weeks and 69 patients with abnormal OGTT of gestational age 24 -28 weeks.Results: In early diagnosed GDM group alive and healthy babies were slightly lower as compared with late diagnosed GDM group.Conclusions: The diagnosis of GDM gives us an opportunity in identifying individuals who will be benefitted by early therapeutic intervention with diet, exercise, and normalizing the weight to delay or prevent the onset of the disease.

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A prospective study on gestational diabetes mellitus in a tertiary care center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184950 ◽

2018 ◽

Vol 7 (12) ◽

pp. 4972

Author(s):

Poovathi M. ◽

S. Gayathri Devi

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Care Center ◽

Tertiary Care ◽

International Diabetes Federation ◽

Intrauterine Death ◽

Maternal Complications ◽

Increased Risk ◽

Fetal Complications

Background: Gestational Diabetes Mellitus is defined as any degree of glucose intolerance identified for the first-time during pregnancy. Gestational Diabetes Mellitus is a highly prevalent metabolic disorder among pregnant woman with rising incidence in recent years. Various risk factors are associated with this disorder leading to maternal and neonatal mortality. About 5% of the pregnancies are complicated by Gestational Diabetes Mellitus. The International Diabetes Federation estimates that one in six live birth (16.8%) are to women with some form of hyperglycemia in pregnancy. The prevalence of GDM in present study is 4.326%. Not only obesity but also overweight women have greatly increased risk of developing gestational diabetes.Methods: This includes study all cases of gestational diabetes mellitus admitted in the Department of Obstetrics, Government Mahatma Gandhi Memorial Hospital attached to K.A.P.V medical college, Trichy. This study has been conducted from January 2018 to June 2018.Fetal complications in infants born to diabetic mothers were studied. Maternal complications related to Gestational diabetes were also studied.Results: The total deliveries during this period were found to be 4085 of which 175 patients where diagnosed to have Gestational Diabetes Mellitus, thus the incidence accounts for 4.326%.The incidence in 20 to 25 years age group was around 67 which accounted for 37.3%. Most cases less than 20 years were found to be pregestational diabetes mellitus. The prevalence of GDM in present study is 4.326%. The maternal complications like vaginal infections accounted to 11.4%, gestational hypertension accounts to 14.3%, polyhydramnios to 17.1%. Regarding the fetal complications incidence of intrauterine death at term was around 8% and neonatal complications included hyperbiliribinemia 11.4%, hypoglycaemia, 6.7%, respiratory distress syndrome 5.75%.Conclusions: Gestational diabetes was associated with increased adverse maternal and perinatal outcomes.

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Outcome of pregnancy in gestational diabetes as compared to overt diabetes

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200349 ◽

2020 ◽

Vol 9 (2) ◽

pp. 630

Author(s):

Chirag R. Banker ◽

Latika R. Mehta

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Economic Status ◽

Care Center ◽

Tertiary Care ◽

Fetal Outcome ◽

Intrauterine Fetal Death ◽

Family History Of Diabetes ◽

Overt Diabetes

Background: Diabetes mellitus is a chronic metabolic disorder characterised by polyuria, polyphagia, polydipsia and glycosuria. Diabetes in pregnancy can be defined as pregestational (pre-existing) diabetes or gestational diabetes have type 1 (T1DM) or type 2 (T2DM) diabetes mellitus. Present study was carried to compare the maternal and perinatal outcome of overt diabetes mellitus as compared to gestational diabetes mellitus (PGDM) with that of gestational diabetes (GDM).Methods: An observational study was conducted at obstetrics and gynaecology department of a tertiary care center from July 2010 to October 2012 among 23 diabetic women. Seven of them were cases of overt diabetes while 16 were diagnosed during pregnancy. Maternal and fetal outcome were studied. All patients were followed from time of admission to discharge from hospital.Results: mean age of the participants were 26.71±4.89 in overt diabetes as compared to 27.56±4.41 among gestational diabetes. Illiteracy, low socio-economic status, rural residence, family history of diabetes was also high in overt diabetes mellitus as compared to GDM but none of them was statistically significant (P < 0.05). Intrauterine fetal death was more among GDM (37.5%) as compared to overt diabetes (28.57%). Prematurity and LBW were also high in overt diabetes as compared to GDM but none of them were statistically significant. Oligohydramnios, polyhydramnios and premature rupture of membrane were higher in gestational diabetes mellitus as compared to overt diabetes among women. Rate of LSCS were higher in gestational diabetes.Conclusions: Diabetes whether over or gestational is responsible for the poor outcome of the pregnancy so tight control is needed.

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