Assessment on maternal and fetal outcome of mothers with gestational diabetes mellitus during labour

Abstract

A study to assess the maternal and fetal outcome of mothers with Gestational Diabetes Mellitus during labour in selected hospitals at Kanyakumari district. Descriptive research design and retrospective observational cohort design were adopted for this study. Purposive and convenient sampling technique was used to assess the maternal and fetal outcome. The experiences of mothers with gestational diabetes mellitus were recorded.150 samples in quantitative and 30 samples in qualitative study were selected. A record of past 5 years was observed. Questionnaire method is used to extrapolate the experience of mothers with gestational diabetes mellitus. Demographic variables like age, type of food and clinical variables like gestational weeks during labour, weight gain during pregnancy, mode of delivery and fetal birth weight was used to assess maternal and fetal outcome. The researcher conducted the study for 4 weeks. The findings revealed that, in maternal outcome, none of the mothers with Gestational diabetes mellitus had good outcome, 124(82.7%) had average outcome, 26(17.3%) had poor outcome. In Fetal outcome none of them had good outcome, 137(91.3%) had average outcome, 13(8.7%) had poor outcome. The demographic variables such as age, type of food and clinical variables such as gestational weeks during labour, weight gain during pregnancy, mode of delivery and fetal birth weight were recorded. In maternal outcome there is no a significant association between demographic variables and maternal outcome. The calculated value of fetal birth weight (maternal outcome) is 38.60 which is significant at p<0.05. Hence hypothesis (H1) is accepted. In fetal outcome there is no a significant association between demographic variables and fetal outcome and there is no a significant association between clinical variables and fetal outcome. Hence hypothesis H2is rejected. As per the study the researcher concludes that there was an average outcome of maternal and fetal outcome in mothers with gestational diabetes mellitus during labour

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