Premium
Pregnancy outcome of gestational diabetes mellitus using a structured model of care : WINGS project (WINGS‐10)
Author(s) -
Uma Ram,
Bhavadharini Balaji,
Ranjani Harish,
Mahalakshmi Manni Mohanraj,
Anjana Ranjit Mohan,
Unnikrishnan Ranjit,
Kayal Arivudainambi,
Malanda Belma,
Belton Anne,
Mohan Viswanathan
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13249
Subject(s) - medicine , pregnancy , gestational diabetes , obstetrics , polyhydramnios , diabetes mellitus , fetus , gestation , endocrinology , genetics , biology
Aim To evaluate the impact of a structured model of care (MOC) prepared for resource‐constrained settings, on the pregnancy outcomes of Asian Indian women with gestational diabetes mellitus (GDM). Methods Pregnant women were screened under the Women in India with GDM Strategy (WINGS) MOC for GDM using the International Association of Diabetes and Pregnancy Study Groups criteria. Women with GDM went through a structured MOC that included medical nutrition therapy (MNT), regular physical activity (PA); and insulin when indicated. Fasting blood glucose and post‐prandial blood sugar were monitored every 2 weeks. The pregnancy outcomes of women with GDM who underwent the MOC were compared with those without GDM. Results Under the MOC, 212 women with GDM were followed through pregnancy, of whom 33 (15.6%) required insulin and 179 (84.4%) were managed with MNT and PA. The maternal and neonatal outcomes of women with GDM were similar to the non‐GDM women: there were no significant differences in pregnancy complications such as cesarean section, macrosomia, pre‐eclampsia, oligo/polyhydramnios, preterm delivery, neonatal death, fetal distress, hyperbilirubinemia and low birthweight. Conclusion Implementation of a structured MOC for women with GDM helped achieve pregnancy outcomes similar to those without GDM.