Background: In this study we wanted to evaluate the risk factors associated with GDM and assess the maternal and fetal outcomes in pregnancy with gestational diabetes mellitus. Methods: This is a prospective observational study conducted in the Department of Obstetrics and Gynaecology, Department of Endocrinology and Department of Paediatrics, MKCG Medical College, Berhampur from October 2019 to September 2021 among pregnant women of gestational age between 24-40 weeks who attended antenatal care in OPD and labor room and met inclusion criteria and diagnosed case of GDM in dept. of Obstetrics and Gynaecology, MKCG Medical College and Hospital. Results: The incidence of caesarean deliveries (56.6%), pre-eclampsia (32%), PROM (7.3%) and PPH (6%) are higher among women with GDM. This indicates GDM can result a higher maternal mortality. 11.3% had preterm labor. Requirement of insulin treatment(n=27) is more as compared to MNT alone(n=13) in GDM associated with pre-eclampsia. GDM pregnancies had significantly higher frequency of LGA (30.8%) and mean average birth weight was 2889±587gm. Incidence of neonatal complications such as hyperbilirubinemia (12.6%) and respiratory distress (11.3%) had increased the chances of NICU (18%) admission. Conclusion: A short-term intensive care gives a long term pay off in the primary prevention of obesity, impaired glucose tolerance and diabetes in the offspring as preventive medicine starts before birth.

Background: In this study we wanted to evaluate the risk factors associated with GDM and assess the maternal and fetal outcomes in pregnancy with gestational diabetes mellitus. Methods: This is a prospective observational study conducted in the Department of Obstetrics and Gynaecology, Department of Endocrinology and Department of Paediatrics, MKCG Medical College, Berhampur from October 2019 to September 2021 among pregnant women of gestational age between 24-40 weeks who attended antenatal care in OPD and labor room and met inclusion criteria and diagnosed case of GDM in dept. of Obstetrics and Gynaecology, MKCG Medical College and Hospital. Results: The incidence of caesarean deliveries (56.6%), pre-eclampsia (32%), PROM (7.3%) and PPH (6%) are higher among women with GDM. This indicates GDM can result a higher maternal mortality. 11.3% had preterm labor. Requirement of insulin treatment(n=27) is more as compared to MNT alone(n=13) in GDM associated with pre-eclampsia. GDM pregnancies had significantly higher frequency of LGA (30.8%) and mean average birth weight was 2889±587gm. Incidence of neonatal complications such as hyperbilirubinemia (12.6%) and respiratory distress (11.3%) had increased the chances of NICU (18%) admission. Conclusion: A short-term intensive care gives a long term pay off in the primary prevention of obesity, impaired glucose tolerance and diabetes in the offspring as preventive medicine starts before birth.