Implementing IADPSG criteria in the early diagnosis of diabetes in pregnancy(Gestational & Overt Diabetes) & its impact on perinatal outcome.

GUPTA RICHA; GOYAL NEHA; VERMA ASHA

Volume : V, Issue : XI, November - 2016

Implementing IADPSG criteria in the early diagnosis of diabetes in pregnancy(Gestational & Overt Diabetes) & its impact on perinatal outcome.

Gupta Richa, Goyal Neha, Verma Asha

Abstract :

Objective(s) : For early diagnosis of diabetes in pregnancy by strategy advised by IADPSG. Method(s) : All antenatal patients at 1st visit had FBS and in high risk patients HbA1c, RBS also to detect overt Diabetes or GDM.Those patients who were not detected as diabetics at 1st visit were subjected to 75 gm glucose test between 24–28 weeks and diagnosed as GDM if one or more values were abnormal and the diabetics patients were followed up throughout pregnancy for maternal & neonatal complications.Total number of patients screened were 2009, out of which 175 patients were detected as diabetics & analysed. Result(s) : The data analysed, shows that compared to other studies a fewer no. of patients had complications like pre eclampsia, polyhydramnios ,macrosomia,IUD,preterm labour etc.The neonatal outcome was quite satisfactory and there were no neonatal deaths. Conclusion(s) : We found that two phase strategy screening method was quite helpful in picking the patients with mild glucose intolerance and also economically viable in comparison to GCT followed by GTT.