FETO-MATERNAL OUTCOME OF EARLY DIAGNOSED GESTATIONAL DIABETES MELLITUS AT PEOPLE UNIVERSITY OF MEDICAL & HEALTH SCIENCES

JPUMHS;2024:14:01,89-94. http://doi.org/10.46536/jpumhs/2024/14.01.500

Abstract

BACKGROUND: Diabetes Mellitus is one of the most well-known clinical problems experienced alongside
pregnancy. Clinical acknowledgment of it is significant in light of the fact that opportune mediation by dietary
measures and additionally insulin can lessen the notable maternal and fetal difficulties related to it. OBJECTIVE:
To determine the feto-maternal outcome of early diagnosed gestational diabetes mellitus at People's University of
Medical & Health Sciences. STUDY DESIGN: descriptive cross sectional. METHODOLOGY: We conducted
this study in the Department of Obstetrics & gynecology PUMHS Nawab Shah for a period of six months from
July to December. The data on singleton pregnant women after 24 weeks was analyzed for gestational diabetes
and its consequences on feto-maternal health. Demographic characteristics and complications related to
gestational diabetes were recorded on structured proforma and analysis was done on SPSS version 25. RESULTS:
This study shows that GDM seems to be more prevalent in un-booked patients and with a history of GDM (63.6%)
in previous pregnancy. The mean age observed was 30.6 years ± 6.729 standard deviation, GDM was most
prevalent in parity between 2-4 (47.3%), & in those who belong to urban, 58.2% had normal BMI & 23.6% had
>30 BMI, 43.6% showed polyhydramnios on the scan. Among these patients, 43.6% underwent cesarean section
while 36.4% delivered vaginally. 12.7% had placental insufficiency, around 50% delivered at term and 27.3%
were postdated. 7.3% experience PPH, 3.6% develop septicemia & wound gap. 10.9% develop preeclampsia. 8
newborns needed NICU admission >24 hours, 3 had developmental defects, 7 had respiratory problems, 10
developed hypoglycemia, around 38 babies had weight between 2.5 to 4.5, 10 had >4.5 kg & 7 had < 2.5kg. out
of 55, 48 babies were alive & healthy, 3 died in the first 7 days of life (2 with congenital anomaly), and 2 feti died
in utero. CONCLUSION: After conducting a review, we found that the occurrence of GDM is 11% in PUMHS
Pakistan. It is crucial to analyze and manage gestational diabetes (GDM) properly to prevent dangerous
consequences. Policymakers should prioritize addressing this issue, and pregnant women should schedule regular
antenatal visits.