PREVALENCE OF GESTATIONAL DIABETES MELLITUS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT THREE URBAN HEALTH CENTRES OF BELAGAVI - A CROSS SECTIONAL STUDY

Dr. Divyae Kansal; Dr. Sanjay Kambar

Volume : VII, Issue : XI, November - 2018

PREVALENCE OF GESTATIONAL DIABETES MELLITUS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT THREE URBAN HEALTH CENTRES OF BELAGAVI - A CROSS SECTIONAL STUDY

Dr. Divyae Kansal, Dr. Sanjay Kambar

Abstract :

Background and Objective: Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with the onset or first recognition during pregnancy with or without remission after the end of pregnancy. The prevalence of GDM in India varies from 3.8 to 21% in different part of country, depending on geographical locations. GDM is associated with increased incidence of maternal hypertension, pre–eclampsia, obstetric intervention and risk of developing Diabetes mellitus (DM) in later life. Hence, this study was undertaken to find out prevalence of gestational diabetes mellitus in pregnant women attending Antenatal Clinic of three Urban Health Centres (UHCs) .

Methodology: This one year cross sectional study was done in three UHCs Ashok Nagar, Ram Nagar and Rukmini Nagar, which are urban field practice area of Jawaharlal Nehru Medical College, Belagavi. Data was collected from 360 pregnant women attending the antenatal clinic of three UHCs. Woman was given a standardized 75gm of oral glucose load, irrespective of whether she was in fasting or non fasting state and without regard to time of last meal, and plasma glucose was estimated at 2 hours by using Diabetes in Pregnancy Study group India (DIPSI criteria) and all women with a plasma glucose of ≥ 140 mg/dl were diagnosed to have GDM.

Results: The prevalence of GDM in this study was 12.2%. In the present study mean age of study participants was 24.3�3.92 years. Mean BMI of the study participants was 22.48�3.05 kg/m2.

Conclusion: In this study there is a greater prevalence of GDM in women with increasing

age, higher parity. There is a need for universal screening to pick up gestational diabetes mellitus to prevent both maternal and fetal morbidity. Based on these results it concluded that, the diagnosis of GDM based on DIPSI method is a convenient, quick and cost effective