Objective:Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance that is diagnosed for the first time during pregnancy. This prospective study was undertaken to validate the single-step non-fasting 75 gm Diabetes in Pregnancy Study Group of India (DIPSI) criteria of GDM in Indian patients in comparison with the two-step fasting 100 gm glucose challenge through the Carpenter Coustan criteria (CCC).Materials and Methods:Two hundred patients underwent comparative testing using the DIPSI criteria and CCC. Plasma venous blood glucose levels were estimated using the hexokinase method; values ≥140 mg/dL at 2 hours were considered positive according to the DIPSI criteria. Any two values from ≥95 mg/dL for fasting, ≥180 mg/dL at 1 hour, ≥155 mg/dL at 2 hours, and ≥140 mg/dL at 3 hours were considered positive with the CCC.Results:The mean age and body mass index were 24.26±3.75 years and 20.7±3.07 kg/m2. The sensitivity, specificity, and positive and negative predictive values of the DIPSI guidelines were found as 100%, 97.14%, 83.87%, and 100%, respectively. The positive and negative likelihood ratios were 35.8 and zero. Diagnostic accuracy was found as 97.56%.Conclusion:DIPSI having high sensitivity, specificity, negative predictive value and diagnostic accuracy. DIPSI offers simplicity, feasibility, convenience, and repeatability while economizing universal screening and diagnosis of GDM on a mass-scale. The DIPSI procedure has the potential to be applied to the entire obstetric population, in the implementation of public health programs to diagnose GDM in the community, thus reaching the needs of the developing world.
Background: The objective of the study was to evaluate the maternal and fetal outcome of teenage pregnancy and find the effect of antenatal care on these teen mothers. Methods: A retrospective case study was performed over a period of three years. Data was retrieved from the hospital record. All teenage mothers (aged less than 19 years) delivering in the hospital were taken as cases. Consecutive two deliveries in the age group of 20 to 30 years meeting the inclusion and exclusion criteria were taken as control group. Various aspects of pregnancy outcome was recorded and analyzed. Results: The incidence of teenage pregnancy over the three years of study period was 4.33%. The occurrence of hypertensive disorders 32(9.4%) vs 36 (5.3%), p value < 0.01; IUGR 23 (6.7%) vs 11 (1.6%), p value < 0.01; preterm delivery 38 (11.2%) vs 18 (2.6%) p value < 0.01; and full term normal delivery 258 (75.9%) vs 563 (82.7%), (p value < 0.01 in the study group and control group respectively. Low birth weight babies 140 (41.2%) vs 63 (9.3%), p value < 0.01 and NICU admission 20 (5.8%) vs 9 (1.3%), p value < 0.01; were significantly higher in the study group. The comparison of various pregnancy outcomes according to the booking status of the teenage mothers finds significant improvement in most of the parameters in those who received adequate antenatal care. Conclusion: The pregnancy outcome of teenage mothers is poorer in comparison to 20 to 30 years age group in most of the parameters. Adequate antenatal care reduces the incidence of adverse pregnancy outcome significantly in the teen mothers. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 383-387
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