Abstract :
Introduction: It has been reported that worldwide, one in 10 pregnancies is associated with diabetes, 90% of which are GDM. In India rates of GDM are estimated to be 10-15% with it expected to increase to 20%. There is a significant positive association between maternal hyperglycemia and adverse maternal outcome with the strongest association been found for hypertension in pregnancy. The present study is an effort to bring out the association between GDM and hypertension in pregnancy.
Method: A prospective observational study was carried out on 1059 pregnant women. Amongst them, 129 who met the revised IADPSG criteria were diagnosed with GDM and rest included in normoglycemic group. Women with preeclampsia and gestational hypertension were included in the pregnancy associated hypertension (PAH) group. The risk of PAH in women with normoglycemia and GDM was calculated and maternal demographic factors associated with it identified.
Result: There were 60 (3.8%) women with PAH. Normoglycemic women had lower rate of PAH, as compared to women with GDM (5.4% vs 7.8%, p>0.05). The risk of GDM patients developing pre-eclampsia was significantly more than normoglycemic women developing it (p
Keyword :
Pregnancy, GDM, Hypertension, Pre-eclampsia, Pregnancy complications