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Volume 8 Issue 1 (January, 2020)

Original Articles

Assessment of gestational diabetes mellitus and rate of pre- eclampsia
Dr Chhavi Agarwal, Dr Bhavesh Kumar R Patel

Background: GDM both leads to adverse foetal health outcomes in the form of neonatal jaundice, stillbirths, macrosomia and also affects maternal health. The present study was conducted to assess cases of gestational diabetes mellitus. Materials & Methods: 72 women with gestational diabetes confirmed using International Association of Diabetes and Pregnancy study groups [IADPSG]-2011 and American Diabetes Association [ADA] recommendations were included. A blood sugar level equal to 140 mg/dL or higher indicates GD. Results: There were 15 subjects in GDM with PE and 22 in GDM without PE in primi, 10 in GDM with PE and without PE in 2nd gravida, 3 in GDM with PE and 6 in GDM without PE in 3rd and 2 in GDM with PE and 4 in GDM without PE in 4th and above gravida. GDM with PE and GDM without PE had 1st hour OGTT of 199.2 mg/dl and 174.2 mg/dl, 2 hours OGTT was 172.4 mg/dl and 158.6 mg/dl, weight gain was 17.2 Kilogram and 12.6 Kilogram and HbA1c levels was 7.62% and 7.01 respectively. The difference was significant (P< 0.05). Conclusion: Early detection of gestational diabetes with good antenatal care and strict glycemic control may decrease the chances of preeclampsia.

 
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