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GESTATIONAL DIABETES

GESTATIONAL DIABETES. RISKS AND FUTURE. Risk assessment A high risk of gestational diabetes mellitus:. marked obesity. personal history of gestational diabetes mellitus. Poly cystic ovarian disease(PCOD). Glycosuria. a strong family history of diabetes .

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GESTATIONAL DIABETES

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  1. GESTATIONAL DIABETES • RISKS AND FUTURE

  2. Risk assessmentA high risk of gestational diabetes mellitus: • marked obesity. • personal history of gestational diabetes mellitus. • Poly cystic ovarian disease(PCOD). • Glycosuria. • a strong family history of diabetes . • Member of high risk population-e.g Asian,African • Presence of multiple risk factors warrants earlier screening (preconception, 1st & 2nd trimester)

  3. Screening for GDM • First step: Early identification of risk factors • Second step: One hour 50 g glucose screen • Third step: Three hour 100 g OGTT for diagnosis

  4. OGTT –100g –3 hour Test One abnormal Value is enough

  5. MATERNAL RISKS • Excessive weight gain (obesity) • Preeclampsia • Polyhydraminos • Cesarean section • Preterm delivery • Intrauterine demise • Traumatic delivery (e.g.shoulder dystocia) • And- • Operative vaginal delivery • vacuum-assisted • forceps-assisted

  6. POLHYDRAMINOS (Excess amniotic fluid). • OBESITY (Excess weight gain)

  7. Risks of GDM-To the baby Shoulder dystocia Fetal macrosomia

  8. Risks to the baby (contd.) • Macrosomia (Large baby) • Shoulder Dystocia ,Erb’s Palsy due to large size of the baby. • Neonatal hypoglycemia • Neonatal Jaundice • Delayed Lung Maturation • Hypocalcemia, HypoMagnesmia • Still Birth

  9. Neonatal Jaundice • Erb’s Palsy

  10. Caudal regression syndrome Birth trauma

  11. FUTURE RISKS OF GDM

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