Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Gestational Diabetes Mellitus is a fairly common medical condition encountered in pregnancy. It poses a challenge to the Obstetrician during the antenatal period, at the time child birth and in the post natal period. The present research aimed at studying the associated risk factors, antenatal complications, labour complications and management of Gestational Diabetes Mellitus in our demographic setting. The present Prospective Hospital based Observational study included 44 subjects diagnosed with Gestational Diabetes Mellitus. All the patients underwent detailed history taking, clinical examination and necessary lab investigations. All the relevant data was collected and analysed. Data was collected in MS Excel and presented as numbers and percentages in the form of tables and figures. GHTN and IUGR (FGR) were each reported in 11% patients. Vaginal infection and anemia were each reported by 2 patients. PROM, Poly hydrambios, MCDA, DCDA and Hyperthyroid were each reported in 2.3% patients.It was found that 66% patients had received MNT. Insulin was also reportedly administered to 66% patients. About 59% patients received Pharmacotherapy (Metformin). Nearly 39% delivered at 38 weeks, 16% each at 37, 39 and 40 weeks. About 9% patients delivered at 36 weeks and 1 patient each delivered at 34 and 35 weeks. Majority of the cases, about 70%, were of Cesarean Section and only 30% cases were of vaginal delivery. 32% patients required induction. In 34% of the cases, NICU admission was required. Antenatal screening for Gestational diabetes Mellitus is mandatory as it can lead to complications during pregnancy and after pregnancy. Further studies considering demographic and socio‐economic factors should be carried out to target high risk and low resource populations for screening.
How to cite this article:
Ramajyothi Sanavelli. A Clinical Study on Gestational Diabetes in a Rural Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.398.400
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.398.400