Maternal and Neonatal Outcomes in Gestational Diabetes Mellitus

MU Farooq; A Ayaz; L Ali Bahoo; I Ahmad

International Journal of Endocrinology and Metabolism

Research Institute for Endocrine Sciences

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Maternal and Neonatal Outcomes in Gestational Diabetes Mellitus

Author(s):

MU Farooq^1,*,

A Ayaz²,

L Ali Bahoo²,

I Ahmad²

1Al-Noor Specialist Hospital Makkah, Kingdom of Saudi Arabia, drus76@yahoo.com, Pakistan

2Bahawal Victoria Hospital, Pakistan

International Journal of Endocrinology and Metabolism:Vol. 5, issue 3; 109-115

Article type:Research Article

Received:Feb 13, 2006

Accepted:Aug 17, 2007

How to Cite:MU FarooqA AyazL Ali BahooI AhmadMaternal and Neonatal Outcomes in Gestational Diabetes Mellitus.Int J Endocrinol Metab.5(3):109-115.

Abstract

To describe antenatal maternal complications and neonatal outcomes caused by gestational diabetes mellitus. Materials and Methods: This descriptive observa-tional study was conducted in the Department of Obstetrics and Gynaecology (Obs & Gynae), Baha-wal Victoria Hospital, Bahawalpur, Pakistan, over a the period of one year, from January 1 to December 31, 2003. Fifty pregnant women diagnosed by glu-cose tolerance tests as diabetics were enrolled as study subjects and followed regularly at the Obs & Gynae out-patient department. Blood glucose levels were controlled by diet per se or with insulin and subjects were hospitalized for insulin dose adjust-ment and management of complications. Feotal well being was assessed by ultrasound, kick count and cardiotocography. Time and mode of delivery was decided upon at 36th week of gestation. Intra-partum maternal blood glucose level was monitored and fetal monitoring was done by external cardioto-cography. Results: Out of a total of 1429 women delivered, 50(3.5%) were diagnosed as GDM and studied. Forty-four (88%) patients were above 25 years of age and 38(76%) were multiparous. Thirty-two (64%) subjects required insulin to control GDM. Most fre-quent maternal and feotal complications were poly-hydramnios 9(18%) and macrosomia 18(36%), respec-tively. One out of fifty subjects had a spontaneous miscarriage and one had intrauterine death. Caesar-ean section was done in 29(58%) patients. Total number of babies delivered alive were 48(96%). Conclusion: GDM was diagnosed in 3.5% of preg-nant women. Most of the subjects were above 25 years and multiparous. Most common maternal complication was polyhydramnios and caesarean section was a common mode of delivery. Macro-somia and jaundice were most prominent complica-tions among neonates.

Keywords

Bahawal

Pregnancy

Gestational diabetes mellitus

Maternal outcome

Neonatal outcome

Complications

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