STUDY ON PREVALANCE OF GDM AND ASSOCIATION OF RISK FACTORS IN KGH (JAN 2016 - JAN2017)

Abstract


Context: GDM is defined as glucose intolerance of variable severity with onset or first recognition in pregnancy. This study was carried out in 100 patients who where diagnosed as GDM attending the antenatal outdoor . All GDM patients were followed up and treated with diet and or insulin therapy till delivery to know maternal and fetal outcomes

Aims: Aim of the study to analyse the risk factors which predispose or aggravate gestational diabetes mellitus . GDM mothers pregnancy outcome and postnatal status.

Settings and Design: Methods and Material: This study followed up 100 antenatal GDM mothers and they have been treated with dietary measures or insulin . Their pre pregnancy history included in study.

Results: Family history of diabetes mellitus ,age >25, past history of GDM ,and BMI >25kg /m2 were significantly associated with GDM group. In 100 patients 42% managed with insulin and diet. 57.7% patients managed with diet alone. Obesity is a risk factor among 72% patients. Caesarean delivery among GDM mothers were very high 63.1% Statistical analysis used: Results were expressed as number and percentages. Chisquare test for proportion were used for comparison .P<0.05 were considered to be significant. Results: Family history of diabetes mellitus , age >30 yrs , past history of GDM and BMI >25 kg/m2 were significantly associated with GDM group[ p <0.01]

Conclusions: Thus this study concludes that women with GDM are at increased risk in their adverse obstetric and perinatal outcome. Early diagnosis of GDM is necessary to prevent complications. Main risk factors associated with GDM are obesity, increased maternal age, familial history.

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