Feto maternal outcome in Pregnancy with Gestational Diabetes Mellites: An experience at a Tertiary Care Hospital

Shazia Tabassum¹, Nasreen Kishwar², Zara Usman³

¹Assisstant Professor, Department of Obstetrics & Gynaecology, Hayatabad Medical Complex Peshawar, Pakistan

²Assistant Professor, Department of Obstetrics & Gynaecology, KGMC/HMC, Peshawar, Pakistan

³2nd Year MBBS, Khyber Girls Medical College, Peshawar, Pakistan

Corresponding author: Nasreen Kishwar,

ABSTRACT

Introduction: Gestational diabetes mellitus (GDM) is a common metabolic syndrome and develops during the pregnancy and has dire health consequences to both the mother and the child. It has been established that the timely management of GDM has played a crucial role in reducing the adverse birth outcomes such as preeclampsia, macrosomia and perinatal hypoglycemia when identified and treated promptly. The intention of the research was to establish the feto-maternal outcome of the GDM-complicated pregnancies at Hayatabad Medical Complex, a tertiary care hospital in Peshawar, KPK.

Objective: To determine maternal and neonatal outcome of gestational diabetes mellitus and determine how it can influence the feto-maternal outcome of the pregnancy.

Material and Methods: It was an observational prospective study that examined 100 women with GDM who had their diagnosis performed at the Hayatabad Medical Complex from June 2023 to July 2024. This data has been gathered and examined at maternal and neonatal levels in order to determine the complications rate and the effectiveness of interventions.

Results: The research conducted revealed that there were high rates of cesarean (65) section, macrosomia (30) and postnatal hypoglycemia (25). There was a correlation between poor glycemic control and the rise in the rates of complication.

Conclusion: Maternal and neonatal outcomes in pregnancy complicated with GDM must be enhanced through early diagnosis, effective monitoring of the glucose level, and effective intervention, including the use of insulin.

Keywords: Gestational diabetes mellitus, feto-maternal outcomes, macrosomia, cesarean section, neonatal hypoglycemia, and blood glucose control.