Gestational diabetes: Perinatal and maternal complication in 24-28 weeks

Jain, Rajesh; Pathak, Rakesh R.; Kotecha, Aditya

doi:10.5455/ijmsph.2014.290720141

Cited by 13 publications

(19 citation statements)

References 14 publications

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“…There were more Signifi cant( p< 0.0001) Perinatal mortality 597 Mothers. This fi nding was in line with many studies [11][12][13][14][15][16][17][18] In most of the north Indian states, male to female ratio is worse because of female feticide due to centuries-old wish to…”

Section: Resultssupporting

confidence: 89%

“…36%) women were Diagnosed Type II Diabetes who have GDM were controlled with >160 mg/dl to 200 mg/dl. This fi nding was in unison with many related studies[5][6][7][8][9][11][12][13][14][15][16][17][18][19][20][21], on GDM that Blood sugar level management is imporatant in pregnancy.The Blood Sugar level at the time of Diagnosis of GDM women is strongly related to Perinatal mortality and increased…”

supporting

confidence: 74%

“…The outcome of pregnancy, in terms of mother as well as baby, worse with GDM. [11] It has also been seen from many studies [11][12][13][14][15][16][17][18], in literature that Suboptimal glycemic control in women with GDM is associated with adverse maternal & neonatal outcomes. Therefore Blood sugar levels can be a indicator of maternal and perinatal morbidity and mortality in GDM cases [12].…”

Section: Introductionmentioning

confidence: 99%

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A Prospective study on Impact of Gestational Diabetes Mellitus (GDM) Management on Infants diabetes mellitus (IDM) Burden in Uttar Pradesh India

Jain¹,

Davey²,

Olejas³

et al. 2019

Arch Community Med Public Health

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Gestational diabetes mellitus (GDM) is a type of glucose intolerance which is often identifi ed fi rst time in pregnancy. It is important to assess whether in Uttar Pradesh (a largest state of India with one of the highest rate of the infant and maternal mortality rate has also higher chances of future Diabetes Mellitus (FDM) in mothers which may attribute it to GDM uncontrolled in pregnancy. The Primary objective of this study was to be determine whether the future Diabetes Mellitus in women is associated with GDM degree of control and can the GDM Management in Pregnancy Improves future Diabetes Mellitus via a Prospective study approach. A prospective cohort study was done for 2 and half years from October 1, 2016, to March 31, 2019, at 900 GDM screening units as a part of the Gestational Diabetes Prevention and Control Project, Uttar Pradesh approved by the Indian Government in the state of Uttar Pradesh, India. A total of 515532 pregnant women were screened during their 16-32th weeks of pregnancy by impaired oral glucose test (OGTT) as per NHM Guidelines for GDM, 12784 GDM & 7287 Non GDM for maternal and perinatal outcomes were followed up in both GDM and non GDM categories in the 2 years and 6 months (2016-2019) after blood sugar management. The Pregnant women were recruited at 900 healthcare facilities, 515532 Pregnant Women have been screened at 16-20 Weeks & 24th-28 weeks of pregnancy as per Guidelines of National health Mission, GOI Guideline. There were not only Signifi cant(p< 0.0001) Perinatal deaths(597)4.6% in GDM category as compared to Non GDM category139(1.9%). There were also more future Diabetics in women in GDM cases, with High Birth weight Babies specially in less Control of Blood Sugar levels during Pregnancy. The Overall incidence of future Diabetes in women cases were only 15.9% in GDM Cases at 140-160 mg/dl at GDM Diagnosis,but as the blood sugar levels increased the Incidence of future diabetes in women increased to high level[>160-200mg/dl (36%)]. So there was a signifi cant association between GDM in Mothers and women developing Diabetes after delivery early with poor perinatal & neonatal outcomes, which suggests GDM Management is Crucial in pregnancy for reducing burden of prospective diabetes in Indian women.

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Section: Resultssupporting

confidence: 89%

supporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Prospective study on Impact of Gestational Diabetes Mellitus (GDM) Management on Infants diabetes mellitus (IDM) Burden in Uttar Pradesh India

Jain¹,

Davey²,

Olejas³

et al. 2019

Arch Community Med Public Health

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“…Prevalence was found 6.6% in Jodhpur Rajasthan, 9.7% in Uttar Pradesh, 5.2% in Odisha, 17% in Kollam district Kerala, 14.42% in Kanpur Uttar Pradesh, 6.94% in Jammu Region. [24][25][26][27][28][29] We observed positive association of GDM by age group. A study conducted by Wahi P, et al in Jammu showed that a significant proportion of subjects with GDM were overweight 19 (30.65%) and obese 16 (25.8%).…”

Section: Discussionmentioning

confidence: 95%

Gestational diabetes: know your risk by simple and single step criteria (DIPSI)

Guin

Dadhich

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Gestational diabetes mellitus (GDM) has associations beyond the index pregnancy, identifying two generations at risk of future diabetes. Thus, detection of gestational diabetes mellitus becomes an important public health issue. This study aimed to estimate the prevalence of gestational diabetes mellitus by using simple and single step DIPSI criteria (Diabetes in pregnancy study group India) and risk factors associated with GDM.Methods: This cross-sectional study was carried out in 800 antenatal patients attending the antenatal clinic. These patients have given 82.5 gm mono-hydrous (75 gm anhydrous) oral glucose irrespective of the meals and their plasma glucose was estimated at 2 hr. Patients with plasma glucose value ≥140 mg/dl were diagnosed as GDM.Results: The present study estimated that the prevalence of GDM was 14.75% at their 1st visit. We found a positive association of GDM by age, BMI, hypertension and family history of diabetes. Older women had 4.5 times greater risk of GDM than younger women, obese women had 52 times higher risk of GDM than underweight women and hypertensive pregnant women had 4 times greater risk of GDM.Conclusions: It was realized that the test (DIPSI) could be easily performed in high volume hospitals comfortably and the patient were at ease as they were not fasting. Simple, cost effective tests, if made universal and available in developing country like ours will surely aid health care providers to screen, diagnose GDM and offer preventive and treatment measures at the earliest.

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“…Gestational diabetes mellitus (GDM) is a condition of glucose intolerance developed during pregnancy . Many women with GDM experience pregnancy‐related complications, which primarily affect the fetus and include macrosomia, congenital malformations, prematurity, neonatal intensive care unit (NICU) admission, and respiratory distress syndrome .…”

Section: Introductionmentioning

confidence: 99%