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Objectives: 1. To find the frequency of gestational diabetes (GDM) in patients undergoing induction of labour. 2. To compare the frequency of caesarean section in diabetic (GDM) and non-diabetic females undergoing induction of labour. Materials and Methods: It was a descriptive case series conducted at the Department of Obstetrics and Gynaecology, Shalamar Hospital Lahore. The duration of the study was six months after approval from IRB. A sample size of 214 cases undergoing induction of labour at term during the study period; calculated with 95%confidence level and 3.4% margin of error and taking the expected percentage of GDM is 6.9%. Purposive sampling was used. 214 females who will fulfill the inclusion criteria were enrolled in the study from the labour room of the Department of Obstetrics and Gynaecology, Shalamar Hospital Lahore. Induction of labour done with tab Prostin 3mg single dose and patients having gestational diabetes were identified and frequency of caesarean section in diabetic and non-diabetic calculated. Results: In the current study, the mean age of the patients was 27.8±4.4 years. Mean gestational age was 37.1±3.8 weeks and mean BMI was 28.6±4.1 kg/m2. Primigravida were 88 (41.1%) and multigravidas were 126 (58.9%). Gestational diabetes was found to be in 36 patients (16.8%). Caesarean section was performed in 77 patients (36%). Comparison of frequency of cesarean section in diabetic (GDM) and non-diabetic females undergoing induction of labour revealed majority of the caesarean sections performed in GDM patients (p=0.007). Conclusion: In our study, pregnant women with gestational diabetes have a high caesarean section rate. Major factors that contribute to this high caesarean section rate in patients with gestational diabetes were advanced maternal age and high BMI.

Frequency of caesarean section in diabetic vs. non diabetic females undergoing induction of labour at term