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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 9, Issue 3, January 2014 pp 457-460
Comparison of Pregnancy Outcomes in Indian Women Complicated With Pregestational and Gestational Diabetes Mellitus
Sanjaykumar Patil1, Pallavi D. Pandey2, N. S. Kshirsagar3
1Associate professor, 2Senior resident, Professor, Department of OBGY, KIMS, Karad, Satara, Maharashtra, INDIA.
Academic Editor : Dr. Aher K. R.
Objectives: To compare the pregnancy complications and fetal outcomes in pregnancies complicated with pregestational and gestational diabetes mellitus .Materials and Methods: a retrospective cohort study done in Krishna Institute of Medical Sciences, Karad. A study sample of 250 patients which included 43 pregestational and 207 gestational diabetic patients who delivered in 2011-2014. There were no, statistically significant differences in the two groups regarding the mean gravidity, parity, birth weight and placental weight (p>0.05).however statistically significant differences were foundwith respect to the mean maternal age, gestational at booking, fasting blood sugar and gestational at delivery. Although there was statistically significant difference between the groups regarding one of the pregnancy complication-polyhydramnios, none were found in other complications (p>0.05). the overall caserean section rate was 48%.The overall perinatal mortality was 5.7%. Conclusion: Women with diabetes have worse pregnancy outcomes compared to non-diabetic mothers with those with pre-gestational diabetes fare worse than those with gestational diabetes. The study emphasizes the fact that strict glycemic control is extremely important during pregnancy.