Case Report On Management of Pregnancy by IVF conception with Gestational Diabetes.
Diabetes is known to influence both men and women's fertility and reproductive health. Diabetes can affect hormones, causing implantation or pregnancy to be delayed or unsuccessful. Diabetes is also linked to poor sperm and embryo quality, as well as DNA damage genetic mutations and deletions. In vitro fertilization (IVF) is a sophisticated set of treatments used to aid in the creation of a child or to help with fertility or to prevent genetic abnormalities. During IVF, mature eggs are extracted from the ovaries and fertilized in a laboratory using sperm. Relative carbohydrate intolerance and insulin resistance are linked to pregnancy. Excessive foetal development, higher frequency of birth trauma, and newborn metabolic abnormalities are all risk factors for gestational diabetes mellitus (GDM). Main symptoms and/or important clinical findings: A 43 year .old female was admitted in AacharyaVinobaBhave Ruralhospital, Wardha on date 20/02/2021 with chief complains. Pain in abdominal, pre vaginal bleeding, increased glucose levels. With elderly primi With 6 weeks and 6 days primi with IVF conceptions diabetes mellitus with twins pregnancy. Obstetric history :Elderly primigravidaWith6 weeks and 6 days GA with IVF conceptions diabetes mellitus with twins pregnancy.The main diagnoses, therapeutic interventions, and outcomes: After physical examination and investigation, doctor was detected a caseof 6 week and 6 day diabetes mellitus with Patient was treated analgesic drugs to reduce pain. Also provide a calcium supplements and iron supplements present case was stable but according to ultrasonography finding the twins was good. The patient’s glucose level is controlled. Nursing perspective: Administration fluid replacement. i.e DNS and RL , monitored for fetal heart rate and vital signs checked per hourly. glucose level checked and recorded. Glucose level is control to give the insuline drug. Proper drug administrated to the patient ie. Inj chorion 5000 IU subcutaneous, inj lomoh 40 Mg intramuscular, inj growth hormone 2 IU subcutaneous etc given to the patient.Conclusion:Pregnancy convinced with in vitro fertilization increasing the more risk of gestational diabetes mellitus.But the treatment is improve the outcome of pregnancy.