Volume : IX, Issue : VI, June - 2020

Gestational Diabetes Mellitus (GDM),management of mother and new born

Dr Nishant Upadhyay, Pror. M P Singh, Dr Prashant Pathak, Dr Md Zamin Ahsan

Abstract :

Gestational diabetes mellitus (GDM), defined as diabetes diagnosed as Impaired Glucose Tolerance (IGT) with onset or first recognition during pregnancyin second and third trimesters of pregnancy.It has emerged as a global public health problem.[2 Worldwide, one in 10 pregnancies is associated with diabetes, 90% of which are GDM] In India, one of the most populous country globally, rates of GDM are estimated to be 10–14.3% which is much higher than the west. The incidence of GDM is expected to increase to 20% i.e. one in every 5 pregnant women is likely to have GDM. Undiagnosed or inadequately treated GDM can lead to significant maternal & fetal complications. Moreover, women with GDM and their off springs are at increased risk of developing type 2 diabetes later in life. In India alone, GDM complicates nearly 4 million pregnancies annually, representing large subset of population at high risk for adverse perinatal morbidity and mortality if left inappropriately managed Maternal risks of GDM include polyhydramnios, pre–eclampsia, prolonged labour, obstructed labour,cesarean section, uterine atony, postpartum hemorrhage, infection and progression of retinopathy which are the leading global causes of maternal morbidity and mortality. Fetal risks include spontaneous abortion, intra–uterine death, stillbirth, congenital malformation,shoulder dystocia, birth injuries, neonatal hypoglycemia and infant respiratory distress syndrome. Longterm clinical effects of GDM are important contributors to the burden of non–communicable diseases in many countries

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

GESTATIONAL DIABETES MELLITUS (GDM),MANAGEMENT OF MOTHER AND NEW BORN, Dr Nishant Upadhyay, Pror. M P Singh, Dr Prashant Pathak, Dr Zamin Ehsan INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-6 | June-2020

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