Neonatal outcome in early and late gestational diabetes mellitus

Abstract

Introduction: Gestational diabetes mellitus in pregnancy is quite common and the prevalence is higher in ethnic communities. This study aims to look at neonatal complications and NICU admissions occurring in early and late onset gestational diabetes for better monitoring and management of neonatal complications. Material and Methods: This is a prospective observational study in a neonatal intensive care unit of a tertiary hospital in Kolkata over a year. Neonates born to mothers with gestational diabetes were admitted for observation in NICU. Their demographics and complications were noted. Maternal details were collected from maternal records. Results: Gestational diabetes was noted in 45.8% in early pregnancy. 33.3% mothers were managed with insulin. 75% delivered by Ceasarean section. Preterm delivery noted in 23.6%.Complication were 60.60% in early onset gestational diabetes which was significantly greater (p<0.05). Hyperbilirubinaemia and hypoglycaemia were the commonest complication. Macrosomia and congenital complications were seen in early onset GDM. Conclusion: Strict monitoring and intervention is necessary in early gestational diabetes to prevent neonatal complications.