Maternal and Perinatal outcome in mothers with Gestational Diabetes Mellitus in Combined Military Hospital Sialkot.

  • Jehanara Rafiq Assistant Professor of Obs and Gynae, Combined Military Hospital, Sialkot
  • Farhat Karim Associate Professor of Obs and Gynae, Combined Military Hospital, Peshawar
  • Muhammad Musarrat Jamal Assistant Professor; Paediatrics Department, Islam Medical College, Sialkot
  • Mazhar Nazir Chattha Associate Professor, Paediatrics Department, Islam Medical College, Sialkot
Keywords: Gestational Diabetes, Maternal outcome, neonatal outcome, Hypoglycemia, Macrosomia


Objective: To determine the maternal and perinatal outcome in mothers with gestational diabetes mellitus in Combined Military Hospital Sialkot.
Methodology: This prospective observational study was conducted at Combined Military Hospital Sialkot from January 2018 to December 2018. A total number of 213 pregnant women who were screened for Gestational Diabetes Mellitus (GDM) were taken as a study group and 180 non-GDM mothers were included as control group.
Result: Out of a total of 2599 pregnant woman who were enrolled in this hospital for delivery during the study period, 213 (8.2%) screened out to be the cases of GDM. However 13 lost to follow up and 200 GDM mothers in the study group along with 180 non-GDM mothers as control were followed till delivery. In the study group, 54% and 26.67% mothers in control group were delivered by Cesarean Section (CS). The antenatal complications were hypertension, UTI, candidiasis, and obstetrical complications were PPH, puerperal sepsis, failed trial of labor and shoulder dystocia. There were 4 (2%) IUD’s in GDM group and 1 (0.55%) IUD in control group. 118 babies from GDM groups were admitted in NICU and their commonest complication was hypoglycemia. There were 21 (10.5%) and 7 (3.9%) perinatal deaths in GDM and control group respectively. Data were analyzed by using SPSS Version 20
Conclusion: GDM is a growing concern in our pregnant women and it adversely affects the maternal and perinatal outcome.

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