Somu Sharmila Kumari1, Balla Sudha Rani2, Prasad Usha3, Swarnalatha Gummadi4
BACKGROUND
Gestational Diabetes Mellitus is important in that it poses a risk to the pregnant woman and her baby. The prevalence of Gestational Diabetes Mellitus ranges from 0.2%-12% depending on the population studied.
Aim of this study is to assess the hospital prevalence of Gestational Diabetes Mellitus, maternal and foetal outcomes in pregnancies complicated by Gestational Diabetes Mellitus at a tertiary care unit during the study period.
MATERIALS AND METHODS
The study was conducted at a tertiary care centre at Visakhapatnam over a period of 1 year from June 2015 to May 2016. A total of 8,906 were screened and 84 cases were diagnosed as Gestational Diabetes Mellitus according to American Diabetic Association (ADA) Guidelines. They were followed till delivery and maternal and foetal outcome noted.
RESULTS
The prevalence of Gestational Diabetes Mellitus in our study was 0.94%. The most common age group was between 25 to 30 years with 42 cases [50%]. The number of cases above BMI 30 kg/m2 were 58 [69.04%]. The most common complication associated with GDM was abortions [23.8%] followed by preeclampsia [21.42%] and infections mostly vulvovaginal candidiasis [20.23%]. Neonatal Intensive Care Unit admission rate was high, 29 cases [34.52%].
CONCLUSION
Gestational Diabetes Mellitus is an important maternal complication in pregnancy especially in India where the incidence is rising rapidly. Early detection, appropriate multidisciplinary care at tertiary care center can reduce complications associated with Gestational Diabetes Mellitus.
