Gestational diabetes Pregnancy and Childbirth Diabetes mellitus arising in pregnancy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 45 2. Singleton pregnancy 3. Gestational age at recruitment 20-30 weeks 4. Confirmed GDM: Fasting plasma glucose = 5.1 mmol/L and/or the 2-hour = 7.8 mmol/L by 75g OGTT = 16 weeks of pregnancy 5. Normal 4-point blood sugar profile (BSP) in the preceding 2 weeks: fasting/pre-prandial = 5.3, post prandial 1 hour of = 7.8 or post prandial 2 hours of = 6.7 mmol/L 6. Not on any hypoglycaemic drug treatment
Exclusion criteria
Exclusion criteria: 1. History of prepregnant hyperglycaemia (type 2 diabetes, impaired glucose tolerance or fasting glycaemia) 2. Fasting plasma glucose = 7.0 and/or the 2-hour level = 11.1 mmol/L by 75g OGTT 3. Haemoglobin level of < 8 4. Medical condition likely to result in delivery before 36 weeks gestation 5. Planning to deliver in different hospital from UMMC
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HbA1c level, measured using blood sample taken and sent to haematology labarotory in UMMC at recruitment and at 36 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Drug treatment (e.g. metformin, insulin) during follow up 2. Pregnancy induced hypertension (BP = 140 sys or 90 diastolic on 2 occasions prior to labour > 6 hours apart) during follow up 3. Gestational age at delivery 4. Induction of labor with indication 5. Epidural analgesia in labour 6. Mode of delivery: 6.1. Spontaneous vertex delivery 6.2. Instrumental delivery 6.3. Caesarean section with indication 7. Delivery estimated blood loss (major primary postpartum hemorrhage > 1000 ml) 8. Third/fourth degree tear 9. Placenta weight 10. Birth weight 11. Umbilical cord arterial pH at birth 12. Apgar score at 1st and 5th minutes 13. Special care nursery/neonatal intensive care unit admission during birth admission, indications of admission 3 to 13: the outcomes will be measured after delivery | — |
Countries
Malaysia