case study Gestational diabetes

May 28th, 2015
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Rogers State University
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This is a case of a 38-year old multipara named M.I.S. who underwent Caesarian Section Delivery last 8th of February 2010 with a diagnosis of G3P2 (2012), cephalic presentation to a live baby girl delivered by Low Transverse Caesarian Section due to Gestational Diabetes Mellitus with Gestational Hypertension.

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I. INTRODUCTIONThis is a case of a 38-year old multipara named M.I.S. who underwent Caesarian Section Delivery last 8th of February 2010 with a diagnosis of G3P2 (2012), cephalic presentation to a live baby girl delivered by Low Transverse Caesarian Section due to Gestational Diabetes Mellitus with Gestational Hypertension. Gestational diabetes mellitus (GDM) is defined as the glucose intolerance of variable degree with an onset or first recognition during pregnancy. It accounts for 90% diabetes mellitus cases in pregnancy. Type II diabetes mellitus accounts for 8% of cases of diabetes mellitus in pregnancy.GDM is the most common medical complication of pregnancy. It occurs in women who have insulin resistance and a relative impairment of insulin secretion. These women have a significant risk of developing diabetes later in life. Identifying this group of women is important in not only preventing perinatal morbidity but also improving long-term outcomes for the mothers and their children. There are several fetal and maternal complications associated with Gestational Diabetes Mellitus. Fetal complications include macrosomia, neonatal hypoglycemia, perinatal mortality, congenital malformation, hyperbilirubinemia, polycythemia, hypocalcemia, and respiratory distress syndrome. Macrosomia, defined as birth weight > 4,000 g, occurs in 20-30% of infants whose mothers have GDM. Maternal factors associated with an increased incidence of macrosomia i

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