Volume 13 Issue 10

Submission: 11 July 2025   |   Acceptance: 22 August 2025   |   Publication: 7 October 2025

DOI: https://doi.org/10.1234/health-affairs.v13i10.001

Feto Maternal Outcome in Pregnancy with Gestational Diabetes Mellitus: An Experience at a Tertiary Care Hospital

¹Shazia Tabassum, ²Nasreen Kishwar, ³Zara Usman

¹Assistant Professor, Department of Obstetrics & Gynaecology, Hayatabad Medical Complex, Peshawar, Pakistan
²Assistant Professor, Department of Obstetrics & Gynaecology, KGMC/HMC, Peshawar, Pakistan
³2nd Year MBBS, Khyber Girls Medical College, Peshawar, Pakistan

Corresponding Author: Nasreen Kishwar

ABSTRACT

Introduction: Gestational diabetes mellitus (GDM) is a common metabolic syndrome that develops during pregnancy and has dire health consequences for both the mother and the child. Timely management of GDM plays a crucial role in reducing adverse birth outcomes such as preeclampsia, macrosomia, and perinatal hypoglycemia when identified and treated promptly. The intention of this research was to establish the feto-maternal outcome of GDM-complicated pregnancies at Hayatabad Medical Complex, a tertiary care hospital in Peshawar, KPK.

Objective: To determine maternal and neonatal outcomes of gestational diabetes mellitus and how it influences feto-maternal outcomes.

Material and Methods: This observational prospective study examined 100 women with GDM diagnosed at the Hayatabad Medical Complex from June 2023 to July 2024. Data were gathered and analyzed at both maternal and neonatal levels to determine complication rates and the effectiveness of interventions.

Results: The research revealed high rates of cesarean section (65%), macrosomia (30%), and postnatal hypoglycemia (25%). There was a clear correlation between poor glycemic control and increased complication rates.

Conclusion: Maternal and neonatal outcomes in pregnancies complicated by GDM can be improved through early diagnosis, effective glucose monitoring, and timely interventions, including insulin use.

Keywords: Gestational diabetes mellitus, feto-maternal outcomes, macrosomia, cesarean section, neonatal hypoglycemia, blood glucose control.