The prevalence of gestational diabetes mellitus is increased sharply,it consists of a pathology that constitutes a real public health problem. A rigorous tracking is necessary in order to watch out the possible maternal fœtal complications that might occur.consequently, a systematic screening for every pregnant women is needed.Although the numerous works that have been done, there is still no existing universal screening. The aim of this study was to identify the risk factors, screening methods ,aspects of clinical and paracinical factors of gestational diabetes , its impact on pregancy concernig 150 women .

Results :

Gestational diabetes mellitus was diagnosed for 65,3% during the second trimester of pregancy between 24 and 29 weeks ‘ gestation.the principal risk factors that were found out consisted of the family history diabetes (59,3%), the maternal  age( 44,6%), overweight (42,3%)There was no maternal mortality but morbidities like hydramnions (p<0.001)), pre–eclampsia (p<0.001)), urinary tract infection (p<0.05), puerperial sepsis (p<0.05)) and surgical interventions (p<0.001) were more prevalent in GDM compared to non–GDM groups. The prevalence of antipartum haemorrhage, post partum haemorrhage, and eclampsia did not vary between the groups. There was one still birth, one perinatal mortality (due to respiratory distress syndrome) and one congenital anomaly observed in neonates of GDM mothers. More pre–term (p<0.01), post–term (p<0.01), low birth weight (p<0.001) and macrosomic (p<0.001) babies were found among the babies of GDM mothers than non–GDM mothers

Conclusion :

A strict and targeted screening, in addition to multidisciplinary care and adequate management of gestational diabetes mellitus may help to avoid short and long term harmful maternal complications.