Maternal and neonatal outcomes of gestational diabetes: A retrospective cohort study from Southern India.
BACKGROUND
The prevalence of gestational diabetes is on the rise. Understanding the various outcomes of it is necessary to face this challenge.


OBJECTIVE
To study the frequency of occurrence of various maternal and fetal outcomes among gestational diabetes patients.


METHODS
This is a retrospective cohort study conducted in rural Kerala, a southern state of India. The study participants were followed up for a period of 4 years, from 2007 to 2011. The participants included 60 women with gestational diabetes and 120 women without gestational diabetes. Gestational diabetes was the major exposure variable. The frequencies of various outcomes were computed. Multivariable logistic regression was done to compute the risk for various outcomes in gestational diabetes.


RESULTS
The major outcomes included termination of pregnancy by caesarean section, long-term progression to type 2 diabetes, in-born nursery (IBN) admissions and increased neonatal birth weight. The maximum adjusted RR [13.2 (1.5-116.03)] was for the development of type 2 DM later.


CONCLUSIONS
Gestational diabetes can result in significant feto-maternal outcomes; so better facilities are needed to manage gestational diabetes.
Department of Community Medicine, Sree Uthradam Thirunal Academy of Medical Sciences, Vattapara, India.
P R
PR
Sreelakshmi
Department of Respiratory Medicine, Government Medical College, Karakonam, Thiruvananthapuram, India.
Sanjeev
S
Nair
Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Karakonam, Thiruvananthapuram, India.
Biju
B
Soman
Department of Community Medicine, Sree Uthradam Thirunal Academy of Medical Sciences, Vattapara, India.
Rani
R
Alex
Department of Community Medicine, SMCSI Medical College, Karakonam, Thiruvananthapuram, India.
K
K
Vijayakumar
Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Karakonam, Thiruvananthapuram, India.
V Raman
VR
Kutty
Gestational diabetes; pregnancy outcome; retrospective cohorts