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Abstract
ANALYSIS OF PERINATAL AND MATERNAL OUTCOMES IN ANTENATAL WOMEN WHO HAD TWO HOUR PLASMA GLUCOSE BETWEEN 6.7 MMOL/L AND 7.8 MMOL/L WITH 75G OGTT
A. Geethalakshmi*, Mohana Priya, C. Anjalakshi and V. Seshiah
ABSTRACT
Objective: To ascertain the maternal and fetal outcome in antenatal women (ANW) whose 2 hr PG is < 7.8 mmol/dl. Materials And Methods: This is a retrospective study performed in a tertiary care hospital, Institute of Social Obstetrics at Govt Kasturba Gandhi Hospital (ISO-KGH), Chennai after obtaining ethical committee approval. This study analysed age, trimester and BMI of n = 1902 ANW who have undergone ?A Single Test Diagnostic Procedure? of Diabetes in Pregnancy Study Group India (DIPSI) for diagnosing GDM with 2hr PG ? 7.8 mmol/l. ANW were categorized into three group: Group I < 6.7 mmol/dl Group II 6.7 – 7.8 mmol/l and Group III > 7.8 mmol/l. The study compared the incidence of polyhydramnios in the ANW and macrosomia in the new-borns whose birth weight > 3.5 kg. Result: Polyhydramnios in the antenatal woman and macrosomia in the new-borns were statistically significant in Group II *p value- 0.0001. Conclusion: ANW who had 2hr PG between 6.7mmol/l and 7.8 mmol/l had adverse pregnancy outcomes in all trimesters. Hence this category requires cognisance.
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