Study of Management of Diabetes in Pregnancy in South Karnataka Population

Background: The risk factors for GDM are high BMI, nutritional intake, long-term use of contraceptives, physical inactivity, and hyperthyroidism. If not managed meticulously, it may cause morbidity and mortality for both mothers and newborns. Method: 54 diabetic pregnant women were studied with classifying first trimester pregnancy, second trimester pregnancy, and third trimester pregnancy – HbA1C BUN1 TSH, Urine protein to creatinine ratio, USG, with different intervals to assess the viability and fetal umbilical Doppler for fetal movements. Results: 22 (40.7%) had pre-existing diabetes, 32 (59.2%) had GDM. The types of pregnancy were 19 (35.1%) multigravida, 35 (64.8%) primi gravida. The types of delivery were 35 (64.8%) had LSCS, 19 (35.1%) had spontaneous vaginal delivery, 2 (3.7%) hydrocephalus, congenital heart anomalies, still births and macrosomia were studied. Conclusion: The present pragmatic study will be helpful to obstetricians and gynecologists to treat such pa-tients efficiently to avoid morbidity and mortality in mother and fetus.