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GESTATIONAL DIABETES

Learn about the risks and future implications of gestational diabetes, including maternal complications, screening methods, and potential outcomes for the baby. Discover the importance of risk assessment and early detection to mitigate adverse effects.

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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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