Gestational Diabetes

Gestational Diabetes Mellitus is defined as Impaired Glucose Tolerance with onset or first recognition during pregnancy. Worldwide, 1 in 10 pregnancies is associated with the diabetes, 90% of which are GDM. Undiagnosed or inadequately treated GDM can lead to significant maternal & fatal complications. Moreover, women with GDM and their children’s are at increased risk of developing type 2 diabetes later in life. Maternal risks of GDM include polyhydramnios, pre-eclampsia, prolonged labor, obstructed labor, cesarean section, uterine atony, postpartum hemorrhage, infection and progression of retinopathy which are the leading global causes of maternal morbidity and mortality.

Fetal risks include spontaneous abortion, intra-uterine death, stillbirth, congenital malformation, shoulder dystocia, birth injuries, neonatal hypoglycemia and infant respiratory distress syndrome. Longterm clinical effects of GDM are important contributors to the burden of non-communicable diseases in many countries.

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