Prospective Study With Outcome on Gestational Diabetes Mellitus

Abstract

BACKGROUND: In India; the high rate of infant and maternal mortality, may be attributable to rising trend of GDM across Pregnant women. Therefore the study of management of GDM by existing health facilities and Community camps in government and private sector becomes crucial for managing such cases. The present study by prospective evaluation method saught to find out the management of GDM for implementing GDM screening in Kanpur. METHODS: A prospective evaluation based study was done from October, 2012 to September, 2014 at 198 healthcare facilities and 454 screening camps in Kanpur Nagar on 57,018 pregnant women, who were screened between 24th-28th weeks of pregnancy as per DIPSI & FOGSI guidelines. RESULTS: The total pregnant women who were Diagnosed as GDM were 7641 (13.4%) and this prevalence of GDM was more in urban area(16%) as compared to rural area(9.8%). The health facilities in combined more were more efficient in diagnosing GDM(86%) as compared to Commmunity camps(14%)(p<0.0001), but facilities were least interested in follow-up of Blood glucose Monitoring and further counselling (10%). In public health facilities howver-21% Pregnant women attending OPD were under gone OGTT as compared to 7% in Private health facilities and they tested OGTT more than the private health facilities. CONCLUSION: Public health system role is management of GDM is more significant as compared to Community level camps. There are potential benefits of actively involving Public health facilities in GDM Management among pregnant women, which needs to be taken care by Government on priority basis.

Can the management of blood sugar levels in gestational diabetes mellitus cases be an indicator of maternal and fetal outcomes? The results of a prospective cohort study from India

“…Therefore, early proper diagnosis coupled with postpartum testing and follow-up in women with GDM can improve perinatal outcomes. [ 32 ] Similar to the findings of our present study, scientific evidence also endorses the thesis that pregnancies complicated by GDM are associated with a higher frequency of adverse maternal and fetal outcomes. [ 33 ] Hence, finally what we can say that there is a need for proper unified programs to manage GDM cases to reduce the growing burden of diabetes in India as advocated by some studies in North India [ 34 35 ] which addressed issues similar to those in our present study.…”

Abnormal glucose challenge test in pregnancy: A study at tertiary care hospital

“…In our study, 7.81% ofwomen with abnormal GCT developed macrosomia which is consistent with the study conducted by Dahiya K, Saahu J et al [14] . In present study, 4.68% women had congenital anomalies in their babies which is similar to the study conducted by Jain R, Davey S et al [15] NICU admission was required to 12.5% babies in women with abnormal GCT in our study which is consistent with the study conducted by Dahiya K, Saahu J et al [14] . In present study, 7.81% of the babies delivered to abnormal GCT women developed hypoglycaemia which is similar to the study conducted by Qadar S, Tayyaba Y et al [13]…”

Prevalence of gestational diabetes mellitus and associated risk factors among rural pregnant women attending antenatal care

“…The diversity of prevalence of GDM was not only found in different states of the country, but this diversity can also be seen in different parts of Uttar Pradesh. The prevalence of GDM was seen in 26% in eastern Uttar Pradesh [12] , 13.45 in Kanpur Nagar [25] , 13.9% in Lucknow [1] , 9.7% in Saifai [26] , 6.72% in western Uttar Pradesh [27] . Moreover, the prevalence has been shown to be higher in urban India as compared to the rural parts.…”