Pregnancy outcome with controlled gestational diabetes: A single centre experience
Abstract
Objectives: This study aimed to analyze maternal and neonatal short term outcomes in pregnancies complicated by gestational diabetes mellitus (GDM) and well controlled by management.
Methodology: The data about all singleton pregnancies with diagnosis of GDM was retrospectively retrieved from patients’ files from 1st Nov 2007 to 30st April 2008 by the department of endocrinology, Alnoor Specialist Hospital, Makkah, Saudi Arabia. The diagnosis of GDM was made according to O’Sullivan and National Diabetes Data Group (NDDG) criteria. Descriptive analysis of data was done by Microsoft Excel version 7 on personal computer. Discrete and continuous data were expressed as median (range), and categorical data as number (percentage).
Results: Incidence of GDM was 94(6.1%) out of total deliveries but 78 GDM cases were included as study subjects. Maternal and neonatal morbidity was 25(32%) and 23(29.5%). Subjects age was 35years (23-47), while majority were multipara, i.e., 39(50%). Highest BMI was seen in third trimester, i.e., 32.3(28-35.7), and subjects’ hemoglobin was 10.7(8.5-12.8). Cesarean section rate was 20(25.6%) while 15(19.2%) developed pregnancy induced hypertension. However, 11(14.1%) neonates were admitted to neonatal ICU followed by neonatal hypoglycemia 19(24.4%). Fifteen (19.2%) neonates suffered from respiratory distress.
Conclusion: Incidence of GDM was 6.1%. Pregnancies with even controlled GDM are associated with adverse maternal and fetal outcomes.
Methodology: The data about all singleton pregnancies with diagnosis of GDM was retrospectively retrieved from patients’ files from 1st Nov 2007 to 30st April 2008 by the department of endocrinology, Alnoor Specialist Hospital, Makkah, Saudi Arabia. The diagnosis of GDM was made according to O’Sullivan and National Diabetes Data Group (NDDG) criteria. Descriptive analysis of data was done by Microsoft Excel version 7 on personal computer. Discrete and continuous data were expressed as median (range), and categorical data as number (percentage).
Results: Incidence of GDM was 94(6.1%) out of total deliveries but 78 GDM cases were included as study subjects. Maternal and neonatal morbidity was 25(32%) and 23(29.5%). Subjects age was 35years (23-47), while majority were multipara, i.e., 39(50%). Highest BMI was seen in third trimester, i.e., 32.3(28-35.7), and subjects’ hemoglobin was 10.7(8.5-12.8). Cesarean section rate was 20(25.6%) while 15(19.2%) developed pregnancy induced hypertension. However, 11(14.1%) neonates were admitted to neonatal ICU followed by neonatal hypoglycemia 19(24.4%). Fifteen (19.2%) neonates suffered from respiratory distress.
Conclusion: Incidence of GDM was 6.1%. Pregnancies with even controlled GDM are associated with adverse maternal and fetal outcomes.
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