Evaluation of the incidence and outcome of gestational diabetes mellitus using the current international consensus guidelines for diagnosing hyperglycaemia in pregnancy

Nair, Vinod; Sandhu, Gurpreet S.; Biswas, Manash; Bhalla, Ritoo

doi:10.18203/2320-1770.ijrcog20163159

Cited by 5 publications

(10 citation statements)

References 13 publications

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“…The incidence of GDM in the present study was found to be 5.72% which was lower than that of 13% by Nair et al . [ 9 ] from Kolkata, Bengaluru, and Pune and similar to 7.17% by Rajput et al . [ 10 ] from Rohtak, Haryana and higher than that of 3.8% by Zargar et al .…”

Section: Discussionsupporting

confidence: 82%

“…In the present study, there was no significant difference in mode of delivery (cesarean delivery and instrumental delivery) in GDM as compared to controls, an observation also reported by HAPO study[ 6 ] and Nair et al . [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…The results were similar to that of Nair et al . [ 9 ] and Djomhou et al . from Cameroon,[ 2 ] who observed increased incidence of macrosomia in their study.…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 ] observed adverse perinatal outcome in women diagnosed to have GDM in the early pregnancy, and the adverse pregnancy outcome was present despite early identification and management of GDM due to greater severity of disease. [ 9 16 ]…”

Section: Discussionmentioning

confidence: 99%

“…Nair et al . [ 9 ] observed most complication including macrosomia, fetal distress, birth injuries, and dystocia could be reduced significantly by adequate glycemic control in the antenatal period. We also observed very slight increase in parameters including large-for-date babies, birth weight, and neonatal hypoglycemia in GDM patients but most other parameters such as mode of delivery, neonate Apgar, and instrumental deliveries were similar in the two groups due to adequate control of BSs by diet control, insulin, and oral hypoglycemic agents.…”

Section: Discussionmentioning

confidence: 99%

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Maternal and perinatal outcome in gestational diabetes mellitus in a Tertiary Care Hospital in Delhi

Kumari

Dalal

Kachhawa

et al. 2018

Indian J Endocr Metab

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Background:Gestational diabetes mellitus (GDM) is defined as a carbohydrate intolerance first diagnosed in pregnancy and may be associated with adverse maternal and perinatal outcome.Aim:The aim of the study was to determine the maternal and perinatal outcome in GDM during pregnancy.Materials and Methods:It is a retrospective analysis of women diagnosed with GDM who got antenatal care and delivered in our hospital in previous 5 years. Another 191 women with normal pregnancy without GDM and other medical conditions were taken as control. The baseline characteristics (age, body mass index, religion, and socioeconomic status) were noted in all cases. Diagnosis of GDM was made using oral glucose tolerance test with 75 g glucose. GDM patients were started on diet following which insulin or oral hypoglycemic agents were given if required. Maternal and perinatal outcome was noted in all women.Results:The prevalence of GDM was 5.72% (170/2970). Most patients (79.41%) could be controlled on diet alone. However, 21 (12.35%) needed insulin and 14 (8.23%) needed oral hypoglycemic agents. Middle socioeconomic status was more common in GDM than control and pregnancy-induced hypertension was more common in GDM (13.5%) than in control (6.3%) (P = 0.019). Mode of delivery was not different in two groups. Instrumental deliveries and postpartum hemorrhage were also similar. However, mean birth weight was significantly higher in GDM (2848 ± 539 g) than in control (2707 ± 641 g) (P = 0.004). Incidence of large-for-date babies was also higher (28.2%) in GDM than control (19.4%) (P = 0.005). In neonatal complication, hypoglycemia was significantly higher in GDM (20.6%) than in control (5.2%) (P = 0.001). However, the incidence of hyperbilirubinemia and congenital malformations was not significantly different in two groups.Conclusion:The prevalence of GDM was 5.72% in this study. Adequate treatment of GDM on diet, oral hypoglycemic agents, or insulin to achieve euglycemia can achieve near-normal maternal and neonatal outcome.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

“…The results were similar to that of Nair et al . [ 9 ] and Djomhou et al . from Cameroon,[ 2 ] who observed increased incidence of macrosomia in their study.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Maternal and perinatal outcome in gestational diabetes mellitus in a Tertiary Care Hospital in Delhi

Kumari

Dalal

Kachhawa

et al. 2018

Indian J Endocr Metab

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Body mass index and gestational weight gain in pregnant women with gestational diabetes and its relation with adverse maternal and fetal outcome

Singh

Kujur

Roy

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Raised body mass index (BMI) and excessive gestational weight gain (GWG) are important determinants in development of gestational diabetes.Methods: A prospective, observational study carried out on antenatal women since their first trimester. These women were screened for gestational diabetes mellitus (GDM) by diabetes in pregnancy study group of India (DIPSI) criteria. All participants were followed up by measuring their BMI, weight gain, blood sugars in every trimester. Also, data was collected regarding any adverse outcomes.Results: Among all participants, 16.8% were diagnosed as GDM. 44% women of study group had weight gain beyond Institute of Medicine (IOM) recommendations. Higher risk of GDM was observed in women with raised BMI and excessive GWG. Also, odds of preeclampsia, preterm deliveries, caesarean section, macrosomia, intrauterine fetal death, neonatal intensive care unit (NICU) admissions were higher in women with GDM.Conclusions: Compliance of recommended weight gain during pregnancy have a strong impact on the fetal outcome. Amount and timing of weight gain plays a crucial role in GDM.

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Prevalence and Risk Factors for Gestational Diabetes in Aswan, Egypt According to International Association of the Diabetes and Pregnancy Study Groups (IADPSG)

Eltoony

Ibrahem

Hafez

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: The prevalence of diabetes in Egypt has significantly increased exceeding international rates. Egypt is now ranked ninth highest in the world in terms of the disease according to IDF, 2019. Objective: Estimation of the prevalence of gestational diabetes mellitus (GDM) in Aswan Governorate in Egypt and determination of the risk factors associated with GDM. Patients and methods: Our study was a prospective study, which carried out in the Antenatal Clinic in the Obstetrics and Gynecology Department, Aswan University Hospital from July 2016 to July 2017. The pregnant women were collected form Aswan Governorate as part of a Gestational Diabetes care in Upper Egypt project in collaboration with World Diabetes Foundation. Our study included 1000 pregnant woman. All participants were screened for GDM at 24-28 weeks of gestation. Universal screenings for GDM were performed for the participants using oral glucose tolerance test (OGTT) according to International Association of Diabetes and Pregnancy Study Groups (IADPSG) recommendations 2017. Results: According to IADPSG criteria, 17.5% of the screened cases had GDM, 16.8% had fasting blood glucose level ≥ 92 mg/dL, 15.5% had 1-hour OGTT ≥180 mg/dL and 16.7% had ≥153 mg/dL. It was found that the age ≥ 25 years and multiparity were significantly higher in GDM than in Non-GDM. Pregnant women living in rural areas and working women were significantly protected against GDM than those from urban areas. Both family history of diabetes and previous history of GDM represented the major risk factor in our studied group (P < 0.001 & < 0.001 respectively). 40.4 % of studied group exhibited no definite risk factors. There were significant increases in systolic B.P, diastolic B.P in GDM group versus non-GDM (p < 0.001 & p < 0.001 respectively). BMI was significantly higher in GDM than non-GDM (p = 0.024). Conclusion: GDM was highly prevalent in Aswan Governorate with a rate of 17.5%. The major risk factors of GDM were family history of DM and previous history of GDM, increase in age >25 and multiparity and obesity.

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Evaluation of the incidence and outcome of gestational diabetes mellitus using the current international consensus guidelines for diagnosing hyperglycaemia in pregnancy

Cited by 5 publications

References 13 publications

Maternal and perinatal outcome in gestational diabetes mellitus in a Tertiary Care Hospital in Delhi

Maternal and perinatal outcome in gestational diabetes mellitus in a Tertiary Care Hospital in Delhi

Body mass index and gestational weight gain in pregnant women with gestational diabetes and its relation with adverse maternal and fetal outcome

Prevalence and Risk Factors for Gestational Diabetes in Aswan, Egypt According to International Association of the Diabetes and Pregnancy Study Groups (IADPSG)

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