Mode of Delivery in Patients With Gestational Diabetes Mellitus

Abstract

Objective: To determine the frequency of mode of delivery in patients with gestational diabetes mellitus.

Methodology: The Descriptive study was conducted from August 2024 to November 2024 at the Department of Obstetrics and Gynaecology, ATH Abbottabad.

A total of 139 women with singleton pregnancies diagnosed with GDM after 36 weeks of gestation were included. The sample size was calculated using the WHO sample size calculator, considering a 95% confidence interval, a 5% margin of error, and an expected frequency of 10% for instrumental deliveries. Data collection included demographic information, pregnancy details, and delivery outcomes.

Results: The mean age of participants was 29.76 ± 4.74 years, with a mean gestational age of 38.49 ± 0.96 weeks. The average parity was 1.63 ± 1.12, and the mean BMI was 29.26 ± 3.68 kg/m². The majority of participants (60.4%) resided in rural areas. The mode of delivery distribution was as follows: 57.6% spontaneous vaginal delivery, 7.2% instrumental delivery, and 35.3% cesarean section.

Conclusion: GDM significantly impacts the mode of delivery, with age and BMI being key determinants.