The prospective study of gestational diabetes mellitus & maternal complications at a referral hospital Tirupati

Gestational diabetic mellitus GDM is 2.9% in 2000 pregnant antenatal screening, 41.82% were primigravida and 59.18% were multigravida, prevalence increased with gravidity. Maternal complications observed were PIH 16.36% poly hydramnios 32.73% and infections in 3 cases. The prevalence of LSCS in the present study was 36.36%. Fatal complications observed were macrosomia, hypoglycaemia and hyperbilirubinemia. GDM is an important public health issue because women who have GDM have higher risk of type II diabetes in the future and second generation. Early detection and treatment of GDM with insulin and life style modification decreased adverse outcome of the pregnancy.