Question

Gestational diabetes mellitus has become one of the most common medical conditions among pregnant women especially obese women. This has major effects of mother and baby and thwart our efforts towards reducing maternal and infant mortality.

A. Explain gestational diabetes

B. Describe the management of gestational diabetes for safe delivery

C. Explain FIVE (5) complications of gestational diabetes

Answer 1

Gestational diabetes is a condition that usually will occurs in women during their pregnancy stage when the body of the individual cannot cope up with the Very extra demand for the insulin production that wil resulting in a Very high blood glucose levels in the individual. It can be Very well managed by Specifically monitoring the blood glucose level of the individual very frequently as well as adopting a very healthy eating plan and also performing a very good as well as regular physical activity. The Effective management of the gestational diabetes will Specifically reduce the risk for the development of the complications during the pregnancy as well as the the birth of the baby.

There are generally three basic components in the effectively managing gestational diabetes in women :

* The monitoring of the blood glucose levels

*adopting a very Good and a healthy eating pattern

* Regular exercise pattern .

Monitor the blood glucose level in them :- Regular in checking the blood glucose levels in the individuals house to check whether the management of the gestational diabetes of the individual is keeping the blood glucose levels of the individual within the targeted normal range .Between 10% to about 20% of the women with the gestational diabetes need to take insulin to maintain their blood sugar under control .
Healthy diet pattern introduction : that - focuses on fruits as well as , vegetables and different types of, whole grains and other substances that are very essential along with a very high in nutrition as well as low in fat .Advise should be received from a registered dietitian or Specifically from a diabetes educator about the diet plan and the ,exercise pattern of the individual and to update the information properly

Physical activity in the individual:- Regular in the exercise is Specifically very important to relieve the common discomforts that arise in pregnancy that includes , back pain as well as , muscle cramps in the individual , swelling, and constipation. .Walking and swimming , are all a very good choices during the pregnancy. Everyday the activities such as the housework as well as gardening are also good.
Specifically in addition to this a Very close observation of the baby of the diabetic mother . Is very important .Regular check up.for the baby's growth as well as development with the repeated ultrasounds or any other kind of tests are also used is needed.if complications or some other risk is seen in the baby then we can seek for an induce labour or an emergency C-Section can be prefered in these cases.  

Complications for the baby

1)Excessive birth weight of the child . Higher than the normal blood sugar in the pregnant women can cause their babies to grow very large or make the baby sometimes born with injury as a result of overweight . Overweight will lead to complications in birth of the child. This is mainly due to High amount of blood sugar supply

2)Early (preterm) birth of the baby. High blood sugar level in body may cause an increase in the women's risk of early labor as well as delivery before the due date. This is mainly because of the development of high weight

3)Serious difficulty in the breathing as well as respiratory distress can be seen

4)Low blood sugar in the baby (hypoglycemia). Sometimes babies of gestation diabetes mothers with have a very low blood sugar Very shortly after the birth. This is because of suden loss of the blood sugars due to the cutting of source of supply of sugar. The placenta. So it will lead to hypoglycemia

5)Obesity as well as type 2 diabetes can be occur later in life of the individual .

6)Stillbirth non. treated gestational diabetes in women will result in baby's that are dead either before or Specifically shortly after birth if the baby

Complication for mother

*High blood pressure can occur . Gestational diabetes in women's will raises the risk in individual for high blood pressure, as well as for preeclampsia in them

*High risk for a C-section in the women with gestation diabetes

*Future the gestation diabetic in first pregnancy will induce a risk for gestation diabetic in the 2nd pregnancy as well .and cause diabetes mellitus in later life