PREVALENCE OF GESTATIONAL DIABETES MELLITUS IN NATIONAL MEDICAL COLLEGE & TEACHING HOSPITAL, BIRGUNJ, NEPAL

Abstract

 Backgrounds: Gestational diabetes mellitus (GDM) is a common metabolic disorder that occurs during pregnancy. It can causes significant problems, including maternal and prenatal complications, and metabolic disorders in offspring of mothers with GDM. Objectives: The study was conducted to determine the prevalence and outcomes of gestational diabetes mellitus (GDM). Methodology: A cross-sectional study involving 871 women between 24 weeks to 28 weeks gestation who visited gynecology OPD of National Medical College, Birgunj for their antenatal care were performed glucose challenge test(GCT)  and oral glucose tolerance test(OGTT) for the conformation of gestational diabetes. Results: .The present cross sectional hospitalbased study, showed the prevalence of GDM as 8.29%. Our results showed that significantly increase in BMI, blood glucose level measured by OGTT at 0, 1 2 & 3 hrs respectively fulfilling the standard criteria for the confirmatory diagnosis of GDM (P<0.001).  Conclusion: GCT followed by OGTT is one of the best methods to determine prevalence and screening of gestational diabetes.