THE Drug utilization pattern of gestational diabetes mellitus in pregnant women and complication of gestational diabetes mellitus in mother and newborn in a secondary care hospital: A retrospective study

  • V Ganesan Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India
  • Junitha Raju Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India
  • Nino Mariyam Abhraham Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

Abstract

The present study was a retrospective study, carried out by total of 100 cases in the Obstetric And Gynaecology department of a secondary care hospital, Tiruppur, Tamil Nadu. There were 100 pregnant women who had gestational diabetes. Increasing gravida (secondary gravida G2 -44% ) shows more prevalence of  GDM than primi (34%).Body Mass Index , family history of  diabetes and previous history of GDM shows more significance in occurring GDM. Among 100 population, 45% patients receiving insulin with medical nutritional therapy (MNT) ,30% patients receiving medical nutritional therapy (MNT) alone , 11% patients receiving medical nutritional therapy (MNT) with metformin, 3% patients receiving medical nutritional therapy (MNT) with Oral Hypoglycaemic Agents (OHA) and insulin , 3% patients receiving insulin alone and 8% patients didn’t receiving any therapy. Overall   96% of women with GDM had one or more complications and 4% had no complication. From this , 35.89% patients shows caesarean delivery with recurrent GDM, followed by 10.25% patients shows caesarean delivery with polyhydramnios, 15.38% patients shows caesarean delivery with Pregnancy Induced Hypertension (PIH).Overall 74% of new-borns had one or more complications and 27% had no complication. 24.32% patients shows macrosomia with neonatal hypoglycaemia, 16.21% patients shows macrosomia with preterm birth, 13.52% patients shows macrosomia with hyperbilirubinemia. Our study concludes that the complications arise from GDM to both mother and new-borns can be resolved and minimised by proper diagnosis and appropriate treatment during the pregnancy.


Keywords: Gestational Diabetes Mellitus, Drug Utilization Pattern, Complications, Oral Glucose Tolerence Test

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Author Biographies

V Ganesan, Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

Junitha Raju, Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

Nino Mariyam Abhraham, Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

Department of Pharmacy Practice, The Erode College Of Pharmacy, Erode under The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India

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How to Cite
Ganesan, V., Raju, J., & Abhraham, N. M. (2019). THE Drug utilization pattern of gestational diabetes mellitus in pregnant women and complication of gestational diabetes mellitus in mother and newborn in a secondary care hospital: A retrospective study. Journal of Drug Delivery and Therapeutics, 9(2), 86-92. https://doi.org/10.22270/jddt.v9i2.2438