Nutritional Status in a Patient with Gestational Diabetes Mellitus and Pregnancy Outcome

Authors

  • Khadiza Yesmin Department of Obstetrics and Gynaecology, Kishorgonj 250 bed General Hospital, Kishoreganj 2300, Bangladesh
  • Ferdousi Begum Department of Obstetrics and Gynaecology, BIRDEM General Hospital and Ibrahim Medical College, Dhaka 1000, Bangladesh
  • Mohammad Rashedul Islam Principal Research Officer, Department of Research & Training Monitoring, Bangladesh College of physicians and surgeons, Dhaka 1212, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v41i1.63261

Keywords:

BMI, MUAC, GDM and pregnancy outcome, Macrosomia, Prospective Cohort Study

Abstract

Introduction: Both maternal nutritional status and GDM have impact on pregnancy outcome. But, data from Bangladesh in this issue is still scarce. To design and utilize national obstetric health care, nutritional status of GDM women and its impact in the birth weight of babies should be evaluated and therefore, this study was designed.

Methods: This prospective cohort study was conducted in the department of Obstetrics and Gynecology at BIRDEM General Hospital-2, Dhaka to evaluate the nutritional status of GDM women and its impact on pregnancy outcomes.

Results: The mean age of the patients in the study was 29.71± 5.06 years. The mean age, Mid Upper Arm Circumference (MUAC,) and Body Mass Index (BMI) were significantly higher in GDM mothers (p <0.05). Additionally, gestational weight gain between 28 weeks and before delivery was significantly higher in GDM mothers (p <0.001). The mean birth weight of the newborns was also higher in the GDM group (3.23±0.46vs. 2.97±0.37 kg) (p <0.05). Macrosomic neonates were observed only in the GDM group (4.36%). APGAR score was significantly better in non-GDM mothers’ babies (p <0.05). Babies of GDM mothers had a significantly higher proportion of birth asphyxia, septicemia, pneumonia, Intrauterine Growth Retardation (IUGR), and Neonatal Intensive Care Unit (NICU) admissions (p <0.05). Macrosomic mothers had significantly higher BMI and higher gestational weight gain (p<0.05).

Conclusion: Mothers with GDM had a higher rate of bad pregnancy outcomes and that macrosomia was linked to a higher BMI.

J Bangladesh Coll Phys Surg 2023; 41: 63-74

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Published

2022-12-31

How to Cite

Yesmin, K. ., Begum, F. ., & Islam, M. R. . (2022). Nutritional Status in a Patient with Gestational Diabetes Mellitus and Pregnancy Outcome. Journal of Bangladesh College of Physicians and Surgeons, 41(1), 63–74. https://doi.org/10.3329/jbcps.v41i1.63261

Issue

Vol. 41 No. 1 (2023)

Section

Original Articles

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