The complications of gestational diabetes are manageable and preventable. The key to prevention is careful control of blood sugar levels just as soon as the diagnosis of gestational diabetes is made. Gestational diabetes can cause complications to both of the mother and the baby. What are the complications to the mother and the baby?
To the mother, gestational diabetes complications are:
- Abortion - premature fetal death
- Genital infection - virus infection at genital area
- Polyhydramnios - excessive amniotic fluid (could cause birth defect)
- Ketosis – coma or death (too little insulin with the combination of high blood sugar and high ketones)
To the baby, gestational diabetes complications are:
- Macrosomnia - Weight over 4 kg (extra glucose stored as fat)
- Mental defiency - spasticity, and muscular weakness
- Preterm birth - premature labor (born earlier than EDD date)
- Intrauterine death - death during pregnancy
- Hypoglycemia - low blood sugar after delivered
- Jaundice - yellow color in the skin, the mucous membranes, or the eyes
In Malaysia, a woman with gestational diabetes is classified as high risk pregnancy, just as a woman with high blood pressure. To prevent unwanted cases (like death), they must give birth at the hospital. They are advised to immediately go to the hospital if they feel their baby is unmoving (the baby stop kicking), feels pain in belly (extraordinary pain) or still don’t give birth as the EDD date (overdue/delayed delivery).