Abstract
INTRODUCTION: Gestational Diabetes Mellitus (GDM) is defined as a state of carbohydrate intolerance resulting in hyperglycaemia resolved within the puerperium period. In some cases, GDM can result in poor perinatal outcomes such as macrosomia and higher rates of caesarian section. This study aims to describe maternal and neonatal outcomes in women with GDM in Kepong District. METHODS: The study is a retrospective cross-sectional study of all pregnancy with GDM in Kepong District from January until June 2015 using antenatal and postnatal data derived from the patientÂ’s card. RESULTS: Among 124 women, 72.6% were between 25-35 years old, 20.2% were above 35 years old and 7.3% were below 25 years of age. 72.6% of the women were multipara, 19.4% were primid and 8.1% of them were grand multipara. 32.3% achieved adequate gestational weight gain (AGWG), 50.8% had low gestational weight gain (LGWG) and 16.9% had high gestational weight gain (HGWG). Methods of delivery for 69.4% of these GDM women were through spontaneous vaginal delivery (SVD), 25.8% through lower segment cesarean section, and 4.8% had instrumental deliveries. 90.3 % of these GDM mothers also delivered a full-term baby while 9.7% had a pre-term baby. Neonatal outcomes showed that 7.3% delivered <2.5kg babies, and 14.5% babies were born as macrosomic. 16.9% neonates had an Apgar score of <9 at 1 minute and 10.5% had a score of <10 at 5 minutes. DISCUSSION: GDM inflicts a risk for both mother and child as the threat of neonatal outcome is higher.
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@proceedings{APCPH-2019-220,
title = {Neonatal Outcomes in Women with Gestational Diabetes Mellitus in Kepong District in 2015},
author = {Premila Sugitha A/P Retnasingam},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Gestational Diabetes Mellitus (GDM) is defined as a state of carbohydrate intolerance resulting in hyperglycaemia resolved within the puerperium period. In some cases, GDM can result in poor perinatal outcomes such as macrosomia and higher rates of caesarian section. This study aims to describe maternal and neonatal outcomes in women with GDM in Kepong District. METHODS: The study is a retrospective cross-sectional study of all pregnancy with GDM in Kepong District from January until June 2015 using antenatal and postnatal data derived from the patientÂ’s card. RESULTS: Among 124 women, 72.6% were between 25-35 years old, 20.2% were above 35 years old and 7.3% were below 25 years of age. 72.6% of the women were multipara, 19.4% were primid and 8.1% of them were grand multipara. 32.3% achieved adequate gestational weight gain (AGWG), 50.8% had low gestational weight gain (LGWG) and 16.9% had high gestational weight gain (HGWG). Methods of delivery for 69.4% of these GDM women were through spontaneous vaginal delivery (SVD), 25.8% through lower segment cesarean section, and 4.8% had instrumental deliveries. 90.3 % of these GDM mothers also delivered a full-term baby while 9.7% had a pre-term baby. Neonatal outcomes showed that 7.3% delivered \<2.5kg babies, and 14.5% babies were born as macrosomic. 16.9% neonates had an Apgar score of \<9 at 1 minute and 10.5% had a score of \<10 at 5 minutes. DISCUSSION: GDM inflicts a risk for both mother and child as the threat of neonatal outcome is higher.},
note = {Type: POSTER PRESENTATION; Organisation: Cheras Health Clinic, Kuala Lumpur, Malaysia},
keywords = {gestational diabetes mellitus, neonatal, outcomes},
pubstate = {published},
tppubtype = {proceedings}
}