Feto-Maternal Outcome in Women with Gestational Diabetes Mellitus

Background: Gestational diabetes mellitus (GDM) is one of the most common complications of pregnancy and associated with adverse outcomes of pregnancy for mother and baby. The aim of this study was to assess demographic parameters like age at diagnosis, parity, Maternal and neonatal complications related to gestational diabetes mellitus, mode of delivery, baby weight and plan the management of gestational diabetes mellitus. The objective of this study was to analyze feto-maternal outcome in patients with gestational diabetes mellitus. Methods: The prospective observational study was conducted in the department of obstetrics and gynecology, Narendra Modi Medical College, Ahmedabad. 90 Patients with Gestational Diabetes Mellitus were studied for feto-maternal outcome. Results: Gestational diabetes was seen commonly in patients with >30 years of age, increased parity, positive family history. Antepartum complications were seen more frequently in GDM group. Caesarean section rate was also high (74%) in diabetic group. Neonatal complications were seen more frequently in diabetic group. A significant percent (43.54%) patients developed overt diabetes over a one year follow up period. Conclusion: There was significant feto-maternal morbidity in patients with Gestational Diabetes Mellitus. Hence, early detection and treatment would reduce the feto-maternal morbidity and mortality.