Background: In Pakistan, high rates of gestational diabetes among pregnant women are associated with high rates of infant and mother death. The importance of government and business sector research on GDM management cannot be overstated. T Method: From March 2018 to January 2020, a total of 50 Private and Public hospitals of Punjab were studied in a prospective manner.1500 pregnant women were checked throughout pregnancy Results: Study showed that GDM was discovered in 96 pregnant women. OGTT was performed more frequently in private hospitals than in public hospitals, and pregnant women were tested more frequently in public hospitals than in private hospitals. GDM management necessitates the use of more than just a community health center. Conclusion: There the government should make it a priority to aggressively involve public health facilities in the care of gestational diabetes in pregnant mothers. Keywords: Gestational Diabetes Mellitus, Management, Diabetes Mellitus

Objective: The purpose of this study is to evaluate the factors that influence the period from when the skin incisions are made to delivery and to identify the influence that these surgical intervals have on the immediate neonatal outcome. Study Design: This will be a prospective cohort study Place of Study: Doctors Trust Teaching Hospital Sargodha Duration of Study: December 2020 to April 2022 Materials and Methods: Tachypnea, persistence for at least 12 hours, one of the chest X-ray abnormalities, and elimination of other respiratory or non-respiratory illnesses helped the paediatric team diagnose TTN. Tachypnea produces fast, shallow breathing. These criteria diagnosed TTN. Tachypnea within six hours of delivery, persistence for at least twelve hours, a chest X-ray abnormality, and elimination of other respiratory or non-respiratory illnesses were the criteria. Result: There was a correlation between the development of TTN and the demographic age (GA), which was statistically significant; however, there was no correlation between the development of TTN and any of the other parameters that were evaluated. There was no evidence to suggest that any of the other risk factors that were investigated were significantly linked with the development of TTN. Practical Implication: Correlation between the development of TTN and the demographic age (GA), but no correlation between the development of TTN and any of the other parameters that were evaluated Conclusion: The authors have concluded that there is no association between TTN and the time between the beginning of the surgical procedure and the delivery of the baby when the patient is under spinal anaesthesia. They argue for the importance of research with larger populations to determine the safest time limit for the delivery of foetal tissue and other potential risks associated with the development of TTN. Keywords: Caesarean section, Decision to delivery interval, Feto-maternal outcome