Comparison of fetomaternal outcome of gestational diabetes mellitus diagnosed by who and IADPSG criteria in teaching hospital, Kerala

Abstract

Background: Gestational diabetes mellitus (GDM) is defined as glucose intolerance with onset or first recognition during pregnancy. The prevalence of GDM ranges from 15.9- 17% among women in the state of Kerala, We compared the International Association of Diabetes and Pregnancy Study Groups and the World Health Organization criteria to diagnose gestational diabetes mellitus and compare the feto-maternal outcomes. Methods: This comparative study carried out from 1st of January 2019 to 31st of January 2020 at the department of Obstetrics and Gynaecology on 234 antenatal women. Results: The prevalence of GDM based on the present study was 6.41% and 7.69% as per the WHO and IADPSG criteria respectively .Neither significant association in the maternal/foetal complications of GDM with respect to the screening criteria nor any significant inter- group difference between the WHO and IADPSG criteria. was noted. Conclusion: There was no significant percentage of cases missed by the WHO screening method .More studies are needed to add evidence for better clinical screening of GDM cases in the Indian set- up.