Introduction: Gestational  diabetes  mellitus  (GDM)  is  defined  as  glucose  intolerance  diagnosed  for  the  first  time  during  pregnancy⁽¹⁾. Indian women have an eleven fold increased risk of developing glucose intolerance during pregnancy compared to Caucasian wome^.(20 . Studies suggest there would be a further increase to 20% in incidence rates. Gestational Diabetes not only plays a role in altering the immediate maternal and fetal outcomes but also increases the risk of type 2 diabetes in the future for both mother (A relative risk of 7.43)⁽³⁾ and the baby⁽⁴⁾.

Methods: A cohort study conducted in 202 patients consisting of 101 patients of pregnant women with GDM risk and normal pregnancy each at Department of Paediatrics, Hitech Medical college, Bhubaneswar over a period of 2 years.

Results: Major outcomes included 83(82.2%) women having gestational diabetes had underwent Cesarean Sections and had 4 macrosomic babies. The babies of these mothers also had the most tendencies to develop hyperbilirubinemia and accounted for a total of 19 NICU admissions with 2 stillbirths.

Conclusion: Gestational Diabetes Mellitus is associated with significant maternal and fetal outcomes.

Keywords: Gestational Diabetes Mellitus, Outcome, LSCS, Complications.

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Dr Sasmita Devi Agrawal

Professor and Head of the Department, Paediatric, HMCH

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