TAILIEUCHUNG - GESTATIONAL DIABETES MELLITITUS: SHORT TERM AND LONG TERM EFFECT ON CHILD'S HEALTH

Public MCH-FP service provision in Bangladesh has a number of distinguishing features. First, the pattern of service utilization is unbalanced, with low utilization of most facilities at the community level (upazila and below) and over utilization of facilities at the district and at teaching hospitals. Though the government EOC project has been proven as an effective way of maternal care by using three delays model, none even the district hospital is able to provide it. Upgrading the quality and coverage of safe motherhood services at formal facilities to ensure 24- hour EOC may have the largest payoff in averting deaths and reducing disability in women and children. | Conference on Maternal and Child Health 2012 Gestational diabetes mellitus Short term and long term effect on child s health Tam Wing Hung MBChB CUHK FRCOG FHKAM O G Subspecialist Fetal Maternal Medicine Associate Professor Department of Obstetrics Gynaecology The Chinese University of Hong Kong Historical background in GDM Definition - Carbohydrate intolerance first recognized in pregnancy History - first appeared in the literature in 1950 s O Sullivan Mahan - based on 2SD X glucose level at 0 1 2 3 h of a 100 g OGTT Increase in long term outcome But not address to pregnancy outcome Controversies in GDM A physiological change . a disease category Should we treat GDM What should be the diagnostic criteria

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