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December 13, 2022International Journal of Reproduction Contraception Obstetrics and GynecologyOpen Access

Gestational diabetes mellitus was associated with higher rates of maternal complications (34% vs 11%), neonatal complications (18% vs 7%), and caesarean sections (44% vs 22%) compared to controls.

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Why the study?

Women with gestational diabetes mellitus are expected to have an increased risk of gestational hypertension, pre-eclampsia, and other maternal and fetal complications.

Does gestational diabetes mellitus increase the risk of adverse maternal and fetal outcomes in pregnant women?

Population

278 patients at SMGS hospital, GMC Jammu

Comparison

139 patients with GDM vs 139 patients without GDM

Design

Retrospective cohort study

Key result

Gestational diabetes mellitus was associated with higher rates of maternal complications (34% vs 11%), neonatal complications (18% vs 7%), and caesarean sections (44% vs 22%) compared to controls.

Authors

VKVinay KumarADAnju Dogra

Discussion

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Member takes

Overview

GDM pregnancies link to higher complications; leaves open whether targeted interventions improve outcomes in prospective trials.

Study Design

Type

Cohort (n=278)

Multicenter

No

Structured PICO

Does gestational diabetes mellitus increase the risk of adverse maternal and fetal outcomes in pregnant women?

P
Population
278 pregnant women, including 139 with gestational diabetes mellitus and 139 matched controls, evaluated retrospectively for maternal and neonatal complications.
E
Exposure
Gestational diabetes mellitus (GDM)
C
Comparator
Women without GDM
O
Outcome
Maternal and fetal outcomes (including mode of delivery, shoulder dystocia, NICU admission, and fetal death)hard clinical

Main Result

Absolute Event Rate: 34% vs 11%

Gestational diabetes mellitus is associated with significantly higher risks of adverse maternal and fetal outcomes, emphasizing the need for early screening and facility-based delivery.

Limitations

  • Small sample size
  • Short duration of study

Cite This Study

Kumar et al. (2022) conducted a cohort in Gestational diabetes mellitus (n=278). Gestational diabetes mellitus vs. Pregnant women without gestational diabetes mellitus was evaluated on Maternal complications. Gestational diabetes mellitus was associated with higher rates of maternal complications (34% vs 11%), neonatal complications (18% vs 7%), and caesarean sections (44% vs 22%) compared to controls.

synapsesocial.com/papers/6a9be8bd3668c9fbaf954bfdhttps://doi.org/10.18203/2320-1770.ijrcog20223293
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