Screening in high-risk group of gestational diabetes mellitus with its maternal and fetal outcomes

Indian Journal of Endocrinology and Metabolism
Angadi Rajasab NiloferSyed Ahmed Zaki

Abstract

Gestational diabetes mellitus (GDM) is a metabolic disorder defined as glucose intolerance with the onset or first recognition during pregnancy. Women with GDM are at increased risk for adverse obstetric and perinatal outcome. The complications associated with GDM can be prevented by early recognition, intense monitoring and proper treatment. The present study was done to screen the high-risk pregnancy group for GDM, to find the incidence of abnormal results on screening and to correlate the abnormal results with the maternal and fetal outcomes. The study was done in a tertiary care hospital and teaching institute. It was a prospective cohort study. Selective screening for GDM was done in 150 pregnant women with high-risk factors. Screening was done with 50 g glucose challenge test (GCT) after 18 weeks, and if GCT was negative then the test was repeated after 28 weeks of pregnancy. The patients who were having an abnormal GCT were subjected to 100 g oral glucose tolerance test (OGTT). All GDM patients were followed up and treated with diet and/or insulin therapy till delivery to know maternal and fetal outcomes. The period of study was from April 2008 to March 2009. 7.3% of study population was OGCT positive. 6% of the study po...Continue Reading

References

Oct 1, 1993·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·H A NasratH Ghafouri
Sep 1, 1993·Clinics in Perinatology·L Cordero, M B Landon
Mar 1, 2000·Clinical Obstetrics and Gynecology·J Uvena-Celebrezze, P M Catalano
Sep 8, 2011·Indian Journal of Endocrinology and Metabolism·Sanjay KalraMathew John
Sep 8, 2011·Indian Journal of Endocrinology and Metabolism·V BalajiV Seshiah

Citations

Aug 21, 2013·Indian Journal of Endocrinology and Metabolism·Priyanka KalraHilda Victoria Singh
Jul 18, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Dora NgShelley A Wilkinson
Oct 14, 2014·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Alec J EkeromaTim Kenealy
Oct 20, 2015·Diabetes & Metabolic Syndrome·Manju A Mohan, Abin Chandrakumar

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