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A STUDY ON THE OUTCOME OF PREGNANCY WITH CONTROLLED GESTATION DIABETES MELLITUS

Dr Syeda Qandeel Zahra, Dr Noman Saleem, Dr Qadeer Shabir

Objectives: The aim of this research work was to assess the outcome of pregnancy having complications due to gestation diabetes and this complication was well-managed by professionals. Methodology: The information regarding all singleton pregnancies with the identification of gestation diabetes retrieved retroactively from the files of patients. The duration of this research work was from December 2018 to May 2019 in endocrinology department of Mayo Hospital Lahore. The standards of O’Sullivan & NDDG (national diabetes data group) were in use for the diagnosis of the gestational diabetes. SPSS V.17 was in use for the analysis of data. Median and range were in use for the expression of the discrete as well as continuous variables. Percentages were in use for the presentation of the categorical information. Results: The occurrence of gestation diabetes mellitus was 6.10% (n: 94) among total deliveries but seventy-eight patients of GDM were the part of this research work. The rate of maternal & neonatal morbidity was 32.0% (n: 25) & 29.50% (n: 23). The average age of patients was thirty-five years with a range of 23 to 47 year of age. Majority of the patients were multipara 50.0% (n: 39). We saw the highest body mass index in the final three months of pregnancy period with an average of 32.30 (from 28.0 to 35.70). The hemoglobin of the patients was 10.70 (from 8.50 to 12.80). The rate of cesarean surgery was 25.60% (n: 20) whereas 19.20% (n: 15) patients developed the hypertension because of pregnancy. But, 14.10% (n: 11) neonates got admission in the intensive care unit of neonates because of hypoglycemia in 24.4% (n: 19). About 19.20% (n: 15) neonates were suffering from the distress of the respiration system. Conclusion: The occurrence of gestational diabetes mellitus was 6.10%. The outcome of pregnancies associated with well-controlled diabetes was also adverse with many complications. KEY WORDS: Gestation, Diabetes, Retroactive, Maternal & Neonatal Morbidity, Distress, Respiration, Hypoglycemia.

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