A Prospective Study of universal Screening of Hyperglycemia in Pregnancy During 1st Antenatal Visit

Abstract

Background:Clinical recognition of GDM is a important because proper recognition and intervention can reduce the well described GDM associated perinatal morbidity and mortality. Study aimed to diagnose the hyperglycemia in first visit and follow-up for outcome of pregnancy.
Aims:To assess the prevalence of GDM in our hospital and to study the usefulness of a one-step procedure as a method for both screening and identification of gestational diabetes mellitus. Methods:This prospective study was conducted at department of Obstetrics and Gynaecology, CKM government maternity hospital, Kakatiya medical college Warangal. Patients were recruited in outpatient ward during the antenatal visits of pregnant women. All pregnant women who had 1st antenatal visit from July 2019 to September 2020 were included in present study after obtaining the informed consent.Results:Total of 197 mothers visiting the antenatal check-up are included in present study with mean age of 25.20±3.9yrs and BMI pre-pregnancy of 24.90±3.02kg/m2. Majority of mothers were primigravida (447.7%) followed with 32.5% with gravida 2. All the pregnant mothers who were diagnosed as GDM were put on standard treatment regimen with Insulin or OHA. The pregnancy outcome as the birth weight of the newborn was comparable between both the groups. However, the mean weight of newborn was 3.11±0.61kg among GDM mothers and 3.05±0.57kg among the normal pregnant women. (p>0.05)Conclusions:Thehyperglycemia screening among the pregnant mothers attending the antenatal visit is found to be beneficial. The pregnant mothers were diagnosed with gestational diabetes mellitus at the earliest and the treatment was initiated timely. The timely intervention among the GDM mothers, have shown a comparable outcome of the pregnancy, with no significant difference in birth weight of the newborn among the normal healthy pregnancy and the GDM mothers.