التفاصيل البيبلوغرافية
| العنوان: |
RISK BASED SCREENING FOR GESTATIONAL DIABETES MELLITUS AND ITS FETOMATERNAL OUTCOME. |
| المؤلفون: |
Qureshi, Aasma Naz1 aasma.naz@yahoo.com, Ahmed, Irfan2, Lohano, Ashok Kumar3, Afroz, Farah4, Hussain, Khawer2 |
| المصدر: |
Professional Medical Journal. 2019, Vol. 26 Issue 6, p854-858. 5p. |
| مصطلحات موضوعية: |
*FETAL macrosomia, *GESTATIONAL diabetes, *CHILDBIRTH, *BLOOD sugar, *FETAL death, *POLYHYDRAMNIOS |
| مصطلحات جغرافية: |
HYDERABAD (Pakistan) |
| مستخلص: |
To determine the frequency of factors leading to gestational diabetes mellitus and fetomaternal outcomes. Setting: Department of Obstetrics and Gynaecology Unit-II at Liaquat University Hospital Hyderabad. Study Design: Cross sectional study. Period: Six months (1st July 2017 to 31st December 2017). Materials and Methods: A total of 86 Women with GDM included in the study by identification of risk factors from history an examination. A sample of capillary blood was tested with glucometer for random blood sugar level. GDM was diagnosed 2 hours blood glucose more than 126 mg/dl. Women with GDM was evaluated and followed to see the maternal outcome i.e. preterm delivery, pre-eclampsia and operative delivery and fetal outcome i.e. congenital anomalies, live birth, still birth, early neonatal death and macrosomia. All the data was entered on a pre-designed proforma attached at the end of synopsis. Results: The average age of the women was 26.23±4.03 years. Frequency of factors leading to gestational diabetes mellitus was previous history of previous GDM; 66.3%, Previous history of macrosomia54.7%, Polyhydramnios in current pregnancy 51.2%, macrosomia in current pregnancy 44.2%, previous history of shoulder dystosia 41.9%, and women with BMI >25kg/m2was observed in 32.6% cases. GDM causes significant maternal and fetal complications including preeclampsia 51.2%, preterm 23.3%, and operative delivery 29.1% as well as fetal death was observed in 21(24.4%) in which 17.44% still birth (15/86) and 6.98 (6/86) were neonatal death. Conclusion: Gestational Diabetes Mellitus is associated with increased morbidity in mothers and fetus. Early detection and intervention is important because it improves pregnancy outcome. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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