Maternal and neonatal outcomes of gestational diabetes mellitus: a retrospective study at a tertiary care centre

Vijaymala Sherkhane; Tushar Palve

doi:10.18203/2320-1770.ijrcog20262517

Authors

Vijaymala Sherkhane Department of Obstetrics and Gynecology, Government Medical College, Mumbai, Maharashtra, India
Tushar Palve Department of Obstetrics and Gynecology, Government Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20262517

Keywords:

Caesarean section, Gestational diabetes mellitus, Hypoglycemia, Neonatal outcomes, NICU admission

Abstract

Background: Gestational diabetes mellitus (GDM) is a prevalent metabolic disorder during pregnancy associated with adverse maternal and neonatal outcomes. This study aimed to assess neonatal complications associated with GDM and compare outcomes between modes of delivery.

Methods: This retrospective study was conducted at Cama and Albless Hospital, Mumbai, over one year (June 2024 to May 2025). Sixty-eight pregnant women diagnosed with GDM were included. Demographic, maternal, and neonatal data were analyzed.

Results: Mean maternal age was 29.6±4.5 years; 61.8% were multigravida. Of 68 patients, 48 (70.5%) underwent lower segment caesarean section and 20 (29.5%) had normal vaginal delivery. Neonatal complications included hypoglycemia (26.5%), macrosomia (22%), and NICU admission (32.4%). Complications were more frequent in the cesarean group.

Conclusions: GDM remains a significant risk factor for neonatal morbidity. Early screening, consistent antenatal monitoring, and adherence to standardized management protocols can help mitigate these risks.

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