GESTATIONAL DIABETES MELLITUS: INCIDENCE, RISK FACTORS AND OUTCOME IN ANTENATAL

ABSTRACT Aim: Gestational diabetes mellitus (GDM) is one of the most common medical disorders found in pregnancy, associated with significant metabolic alterations, increased maternal and perinatal morbidity and mortality. Objective was to found out the incidence, risk factor of GDM and outcomes in antenatal. Materials and Method: A prospective observational study was carried out for a period of 7 months. Total 246 pregnant women between 24th to 28th weeks gestation were screened for GDM by DIPSI method. Results: Total 10 patients were diagnosed with GDM out of 246 antenatal. The incidence of GDM was found to be 4.06 %. Risk factors of GDM such as age ≥25years (30%), BMI ≥25 (30%), parity ≥ 3 (30%) were showed significant correlation in study. The most common maternal outcome was macrosomia followed by IUGR. Approximately 98% of the women had experienced one or more complains during the term of pregnancy. Anaemia (98.37%) was major complain followed by urinary tract infection 0.40% and non obstetric morbidities included vomiting 2.43%, pain in abdomen 9.34%, Diarrhea 1.62%, Cough 2.03% and fever 2.03%. Conclusion: GDM is the most common metabolic complication in pregnancy that causes fetal mortality and morbidity. Parity, age, Body Mass Index (BMI) shows statistically significant correlation (P