Balakrishnan Ramachandran

Clinical Analysis of Pregnancies with Diabetes Mellitus: Gestational Diabetes is on an Increase with Increase in Obesity, Hence Need for a Screening Tool to Avoid It Balakrishnan Ramachandran

Even though PGDM is considered as high risk, lady entering pregnancy with normoglycemia & on insulin has a good chance of favorable pregnancy outcome. This study signifies the need for a screening for diabetes in form of GCT in all pregnant women, as Asians belong to the high risk ethnic group. Those patients who have the risk factors need this test definitely & also follow-up with blood sugar estimation at 32 wks to detect any missed case. Further treatment needs close blood sugar estimation & titration of insulin doses. In spite of good control, as the number of risk factors in lady increases the chances of having a CS also increases. Detection of diabetes at early gestation i.e. 24-28weeks have a better chance of vaginal delivery, hence a delay in detection increases chance of CS. With a good glycaemic control the maternal & fetal complications are mitigated to a great extent. With adequate glycaemic control babies have a normal birth weight, lesser incidence of fetal complications & need for NICU admission. Maternal complications of preterm labor, infections, Hydramnios are reduced. Glycaemic control reduces the need for prolonged hospital stay & also an operative delivery.