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http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/10759
Title: | Multi-morbidities, delivery outcomes, and discharge plans of mothers with gestational diabetes mellitus who delivered at Teaching Hospital Jaffna |
Authors: | Coonghe, P.A.D. Surenthirakumaran, R. Guruparan, K. Raguraman, S. Sasrubi, S. Tharsan, R. Malarvarnan, S. Saranya, N. Muhunthan, K. |
Keywords: | Gestational diabetes mellitus;Maternal multi-morbidities;Delivery complications;Neonatal outcome;Discharge plan |
Issue Date: | 2024 |
Publisher: | University of Jaffna |
Citation: | Research Conference of Faculty of Medicine, Jaffna – 2024; 15th to 16th August, 2024 (RCFM) |
Abstract: | Introduction: Gestational diabetes mellitus (GDM) is common and is often accompanied with other comorbidities. This study was carried out to describe the prevalence of GDM, the presence of multi-morbidities, outcomes, and management on discharge of mothers who delivered their babies at Teaching Hospital Jaffna. Methods: A hospital-based descriptive cross-sectional study was carried out at Teaching Hospital Jaffna using a KoBoCollect-based data extraction form. Secondary data from the Bed Head Tickets (BHT) of mothers who delivered babies between January and June 2023 were extracted. Standard descriptive statistics were applied. Results: BHTs of 3500 mothers were traced; 14.9% (n=523) mothers had GDM. The median age of mothers with GDM was 31.0 (±5.5) years. Among them, 15.5% (n=81), 9.8% (n=51), and 5.7% (n=30) had pregnancy induced hypertension (PIH), anaemia, and thyroid/other disorders, respectively, and seven mothers had both PIH and anemia. Two mothers had all three morbidities along with GDM. Over a quarter (28.1%, n=147) had a family history of diabetes. The median period of amenorrhea (POA) on delivery was 38 weeks. Just over half (52.5%, n=275) underwent caesarean section. Ninety (17.2%) mothers had perineal tear(s) during labour. The prevalence of preterm births was 7.8% (n= 41). Low birth weight and macrosomia were observed among 1.5% (n=8) and 0.8% (n=4) of newborns, respectively. Fifty-four neonates (10.3%) required admission to the Neonatal Intensive Care Unit. Two babies were identified with congenital anomalies. On discharge, 39.2% and 4.6% of mothers were referred to antenatal clinics at Teaching Hospital Jaffna and the relevant medical officer of health, respectively. Conclusion: The prevalence of GDM and comorbidities highlight the need for enhanced screening and management strategies for pregnant women. The significant proportion of mothers with a family history of diabetes suggests a genetic predisposition, indicating the need for targeted education and preventative measures in high-risk populations. The incidence of neonatal and post-partum complications signal the need for vigilance in mothers with GDM during the antenatal period. |
URI: | http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/10759 |
Appears in Collections: | Community & Family Medicine |
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File | Description | Size | Format | |
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Multi-morbidities, delivery outcomes, and discharge plans of mothers with gestational diabetes mellitus who delivered at Teaching Hospital Jaffna.pdf | 1.69 MB | Adobe PDF | View/Open |
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