September 28, 2025

Pregnancy Outcome of Gestational Diabetes Mellitus Among Mothers Attending A Tertiary Care Hospital in Kolkata: An Observational Prospective Study

Key Points

Proper management of gestational diabetes mellitus reduces risks for both mothers and newborns.
Of 981 mothers screened, 102 were diagnosed with gestational diabetes, emphasizing the need for early detection.
Antenatal complications like postpartum hemorrhage and hypertensive disorders were common in mothers with GDM.
No major adverse events, including maternal death or congenital anomalies, were recorded during the study.

Abstract

Objectives: To study outcomes of mothers with GDM attending a tertiary care hospital in Kolkata. Methods: This prospective observational study was done in a tertiary care hospital, Kolkata for one year. Singlestep testing using 75 gm oral glucose and measuring blood sugar 2 hours after ingestion was done on the first visit irrespective of associated risk factors and gestational period. Mothers diagnosed with GDM were managed by Medical Nutrition Therapy with or without pharmacotherapy as required for glycemic control. Maternal and neonatal outcomes were documented and analyzed. Results: Out of 981 screened with OGTT, 102(10.39%) mothers were diagnosed to have GDM. Ninety-two mothers were followed up till delivery. Most of the GDM mothers are between 25-30yrs. PPH and Hypertensive disorders of pregnancy were common antenatal complications. No maternal death or congenital anomalies occurred among mothers with GDM. Conclusion: Detecting GDM at the earliest and proper management reduces maternal as well as neonatal adverse outcomes.

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