Maternal and Fetal Outcome in Patients with Pregestational Diabetes Mellitus and Gestational Diabetes Mellitus and Their Comparison with Non-diabetic Pregnancy

Authors

  • Nurun Naher FCPS, SMO, Department of Obstetrics and Gynaecology, BIRDEM General Hospital, Dhaka
  • TA Chowdhury FRCS, FRCOG, FCPS, Senior Consultant, Department of Obstetrics and Gynaecology, BIRDEM General Hospital, Dhaka
  • Rahima Begum FCPS, FICS, Professor and Head, Department of Obstetrics and Gynaecology, BIRDEM General Hospital, Dhaka

DOI:

https://doi.org/10.3329/birdem.v5i1.28366

Keywords:

gestational diabetes mellitus, maternal, neonatal, pre-gestational diabetes mellitus, outcome

Abstract

Objectives: To describe the maternal and fetal outcome in pre-gestational diabetes mellitus and gestational diabetes mellitus and to compare with that of non-diabetic pregnancies.

Methods: This cross-sectional study was done in the Department of Obstetrics and Gynaecology of BIRDEM over one year period. Study population were divided in three groups; Group A pre-gestational diabetes, Group B gestational diabetes and Group C non-diabetic patients.

Results: Each group had 50 patients. Majority of the patients were multigravida and delivery was at term. Caesarean section was common, 84% in group A, 76% in group B and 72% in group C. Post-partum haemorrage was the commonest maternal complication occurring in 24%, 22% and 22% cases in group A, B and C respectively. Common neonatal complications were respiratory distress syndrome (59.6%, 59.2% and 35% cases of group A, B and C respectively) and hyperbilirubinaemia (95.7%, 73.5% and 85% of cases of group A, B and C respectively). Neonatal hypoglycaemia occurred in 27.7% cases of group A and 18.4% cases of group B. No neonatal hypoglycaemia occurred in nondiabetic group.

Conclusion: Incidence of post-partum haemorrhage, respiratory distress syndrome, neonatal hyperbilirubinaemia and hypoglycaemia were more in pre-gestational diabetes group than GDM group than non-diabetic group.

Birdem Med J 2015; 5(1): 9-13

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Author Biography

Nurun Naher, FCPS, SMO, Department of Obstetrics and Gynaecology, BIRDEM General Hospital, Dhaka



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Published

2016-06-25

How to Cite

Naher, N., Chowdhury, T., & Begum, R. (2016). Maternal and Fetal Outcome in Patients with Pregestational Diabetes Mellitus and Gestational Diabetes Mellitus and Their Comparison with Non-diabetic Pregnancy. BIRDEM Medical Journal, 5(1), 9–13. https://doi.org/10.3329/birdem.v5i1.28366

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Original Articles