Comparison of Maternal and Perinatal Outcome Of Gestational Diabetes Mellitus With And Without Preeclampsia Patient

  • Begum N Assistant Registrar, MS (Obstetrics & Gynecology), 250 Beded District Hospital, Sherpur, Bangladesh
  • Shelly SJ Professor and Head, Department of Obstetrics & Gynecology, BIRDM General Hospital, Shagunbagicha, Dhaka, Bangladesh
  • Karim A Assistant Professor, Department of ENT, Jamalpur Medical College Hospital, Jamalpur, Bangladesh
  • Sultan S Consultant, MS (Obstetrics & Gynecology), Habib Hospital, Ashulia, Dhaka, Bangladesh
  • Joya Biswas
  • Ferdous M Consultant, MS (Obs & Gynae), Islami Bank Hospital & Cardiac Centre, Mirpur, Dhaka, Bangladesh
  • Islam N RS, MS (Obstetrics & Gynecology), Tangail Medical College Hospital, Tangail, Bangladesh
Keywords: Gestational diabetes mellitus, Maternal mortality, Maternal Outcome, Neonatal outcome

Abstract

Background: Gestational diabetes mellitus (GDM) and preeclampsia share many risk factors, e.g., gestational weight gain. Gestational diabetes mellitus (GDM) and preeclampsia are two dangerous pregnancy complications and their coexistence further increases adverse maternal and perinatal outcome.

Methods: It was a cross sectional analytical study. Patients were divided into 2 groups: group I (n=75) included GDM with preeclampsia and group II (n=75) include GDM without preeclampsia. Data was collected by history taking, examinations and required investigations and recorded in a predesigned data collection instrument. and assured that the information and records would be kept confidential. Data were processed and analyzed using computer software SPSS version 22.

Results: Majority, 66.7% among the respondents of group I did not have anemia, 30.7% had mild and only 2.7% had moderate anemia. 86.7% among the respondents of group II did not have anemia, 12.0% had mild and only 1.3% had moderate anemia which was statistically significant (p<0.05). Mean BMI in both group I (31.87± 5.93) and II (31.16 ± 4.72) was not statistically significant (p≥0.05). All (100.0%) among group I and in group II most of the respondents, 90.7% had LUCS and none of group I, only 9.3% in group II had NVD both were statistically significant (p=.013). A non-significant difference was observed in regards of maternal outcome where in group I, had 16.0% oligohydramnios, 4.2% polyhydramnios and 1.3%, PPH, in group II had 12%, oligohydramnios, 4.2% polyhydramnios and none of PPH. In group I majority, 64.0% had preterm delivery and in group II, 41.3% had preterm delivery which was statistically significant. In group I, 5.3% and none of group II had IUD which was statistically significant (p<0.05) A nonsignificantdifference was observed in regards of asphyxia where in group I asphyxia of baby was higher (10.7%) than that of group II, 4.0%.

Conclusion: Preeclampsia is one of the leading causes of maternal and perinatal morbidity and mortality world-wide. In GDM with preeclampsia LUCS, preterm delivery and IUD were higher in comparison of patients in GDM without preeclampsia.

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How to Cite
Begum, N., Shelly, S. J., Karim, A., Sultan, S., Joya Biswas, Ferdous, M., & Islam, N. (2024). Comparison of Maternal and Perinatal Outcome Of Gestational Diabetes Mellitus With And Without Preeclampsia Patient. Obs Gyne Review: Journal of Obstetric and Gynecology, 10(1), 49-57. Retrieved from https://obstetrics.medresearch.in/index.php/joog/article/view/173
Issue
Vol 10 No 1 (2024): Jan-Dec
Section
Original Article

Copyright (c) 2024 Author (s). Published by Siddharth Health Research and Social Welfare Society

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