Fetomaternal Outcome in Pregnant Women with Co - Existing Gestational Diabetes Mellitus and Pregnancy Induced Hypertension

Background: Pregnancy - induced hypertension and Gestational Diabetes are one of the commonest maternal diseases that have the most detrimental effects on the maternal, fetal and the neonatal well - being. This study assessed the fetomaternal outcome in co - existing GDM and PIH. Methods: This study was a prospective observational study of pregnant women attending the obstetrical department for a period of one year and three months. Pregnant women with PIH and GDM were enrolled in the study. (GDM was diagnosed with 75gm OGTT test). Proper history, examination, and clinical and laboratory findings were noted. All the women were followed up till delivery and the complications were recorded. Result: Eighty women were followed up till delivery. The average age was 25 - 39 years. Sixty - six percent were Primigravida. The mean gestational age was 28 - 40 weeks. Sixty ?three percent were delivered by cesarean section, twenty - two percent delivered normally. Preeclampsia was the most common complication in fifty - two percent patients. There was no maternal complication in nineteen percent of patients. The average weight of the neonates was 1.8 - 4.2 kg. The most common fetal complication was preterm delivery in twenty percent neonates. Thirty - seven percent neonates required neonatal admission. Conclusion: Pregnancy - induced hypertension and Gestational Diabetes are one of the commonest maternal diseases that have the most detrimental effects on the maternal, foetal and the neonatal well - being. A careful history and examination and simple laboratory test are needed so that a serious condition that may require specific and urgent management is not missed. Proper monitoring of the blood pressure and the blood sugars and the optimal control resulted in lower maternal and foetal complications.