Medical and Surgical Complications in Pregnancy
In Gestational diabetes mellitus what is NOT usually seen (AIIMS MAY. 2010)
|A||Past h/o macrosomic baby|
1. Gestational diabetes is impaired glucose tolerance & is mainly seen at around 24-28 weeks of gestation.
So the organogenesis is over & congenital anomalies are almost never seen with gestational diabetes.
If the lady is overt diabetic, & if sugars are not under control during first trimester, then there is risk of congenital anomalies.
2. Effects of diabetes of pregnancy
b. Increased risk of pre eclampsia, polyhydroamnios
c. Higher risk of infection
e. Operative delivery
3. Fetal effects
a. Recurrent first trimester abortions
b. Congenital anomalies
c. Sudden IUFD at term
d. Macrosomia (birth weight > 4.5 kgs)
e. Shoulder dystocia