Comparative study of neonatal and maternal adverse outcomes in women with gestational diabetes mellitus followed or treated with insulin versus dietary regimen

Abstract

Aim: Primary aim of this study is to compare the neonatal and maternal complications of women with Gestational Diabetes Mellitus (GDM) treated with insulin or followed by diet. Secondary aim is to evaluate the rate of cesarean section and indications of that. Materials and Methods:Women with GDM were divided into two groups as insulin (n=120) and diet (n=200). Demographic data, antenatal follow-up measurements, gestational week at birth and type of delivery were recorded. Neonatal complications (neonatal intensive care admission, shoulder dystocia, hypoglycemia, low apgar score) and maternal complications (thrombosis, hypoglycemia and cellulitis) were recorded. Total and primary cesarean section rates were calculated by dividing them according to indications. Statistical analysis between groups was performed. Results:Low apgar score, admission to neonatal intensive care, postpartum maternal compthe insulin group compared to the diet group (p <0.05 for all). Vaginal delivery rate labor and preterm delivery rates. Conclusion:ver, dietary follow-up, which is the primary approach for this purpose, seems to be advantageous in terms of neonatal and maternal complications compared to insulin which is known as an effective medical treatment.