{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:38:56Z","timestamp":1787841536842,"version":"build-2784847793"},"reference-count":49,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To estimate the prevalence of gestational diabetes mellitus (GDM) and compare adverse pregnancy outcomes with respect to treatment modalities in a peri-urban teaching hospital in Telangana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective study was conducted on GDM cases delivered from January 2019 to March 2020. GDM was diagnosed using a two-step procedure of screening using IADPSG criteria. Women diagnosed with GDM were divided into four groups \u2013 diet group, metformin group, metformin plus insulin group and insulin group based on the treatment modalities. Adverse pregnancy outcomes of the women managed with different treatment modalities were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Good glycaemic control (FBS,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04, 2 hrs PLBS,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) was achieved in diet and metformin groups. Incidence of Gestational hypertension (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) and preeclampsia (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) were found to be higher in the insulin group when compared to the metformin and insulin group, metformin group and diet group. No difference was noted with respect to polyhydramnios, preterm birth, premature rupture of membranes, induction labour and caesarean delivery rates between the treatment groups. Apgar score at 5 min of &lt;7 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02), neonatal intensive care unit admissions for &gt;24 hrs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03) and neonatal hypoglycaemia (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) were found to be higher in insulin-required groups. Rates of shoulder dystocia, stillbirth, early neonatal death within 1 week and respiratory distress did not vary significantly between the treatment groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Universal screening of women for GDM and multidisciplinary management of women once diagnosed tend to lessen maternal and fetal complications. Metformin can be an effective, cheaper and non-invasive alternative to insulin in the management of GDM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1495_23","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T02:07:26Z","timestamp":1721959646000},"page":"2986-2992","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Adverse pregnancy outcomes with respect to treatment modalities in women with gestational diabetes mellitus at a rural tertiary care teaching hospital"],"prefix":"10.4103","volume":"13","author":[{"given":"Vidyasri","family":"Bailore","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fernandez Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpana","family":"Basany","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Society for Health Allied Research and Education, India, MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maheshwari","family":"Banda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Society for Health Allied Research and Education, India, MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"5736","DOI":"10.3390\/jcm11195736","article-title":"Gestational diabetes mellitus-recent literature review","volume":"11","author":"Modzelewski","year":"2022","journal-title":"J Clin Med"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"589","DOI":"10.3109\/00016349509013467","article-title":"Blood glucose limits in the diagnosis of impaired glucose tolerance during pregnancy. 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