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Title: PREVALENCE OF GESTATIONAL DIABETES MELLITUS BY DIPSI CRITERIA AND ITS MATERNAL AND FETAL OUTCOME AT RURAL TERTIARY CENTER IN NORTH INDIA
e-poster Number: EP 332
Category: Maternal and Fetal Health?
Author Name: Dr. Kalpana Kumari
Institute: UPUMS ,SAIFAI ETAWAH
Co-Author Name:
Abstract :
ABSTRACT
Introduction-. There are various screening tests for diabetes in pregnancy. It is important to assess the efficacy of already available screening test.
Aims and Objectives: To find out the prevalence of GDM using Diabetes in pregnancy Study Group of India (DIPSI) criteria and its maternal and perinatal outcomes at our center that is in rural area of north India.
Material and Methods- The present observational study was conducted on 211 women attending OPD at UPUMS, Saifai, Etawah, UP. The study duration was 18 months. The principle of ?Universal Screening? (DIPSI method) had been adopted and the pregnant women underwent blood glucose test on the first antenatal visit, irrespective of the risk factors. The prevalence of GDM and feto-maternal outcomes were calculated.
Result- 8.1% women were diagnosed with GDM, in our study. GDM was found to occur more in women above 25 years of age and the majority of women belonged to the upper class and upper middle class. 47.05% of subjects underwent lower segment cesarean section. A highly significant association was found in DIPSI findings with preeclampsia. The mean birth weight of neonates in women with GDM (2.98 kg) was higher than in women without GDM (2.66 kg).
Conclusion- DIPSI guideline is a simple, single prick, nontedious, cost-effective method for detecting GDM. The prevalence of GDM observed in our study was 8.1%. Preeclampsia, placenta previa, macrosomia, congenital anomalies in neonates, RDS, Jaundice and hypoglycemia were identified maternal and perinatal adverse outcomes which were having statistically significant association with DIPSI results.
