http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/7765 2026-04-07T17:39:55Z http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/11493 Effects of Gestational Diabetes Mellitus on Maternal and Neonatal Outcomes: A Prospective Cohort Study in Northern Sri Lanka Guruparan, K.; Piraveena, R.; Yalini, G. Introduction: Gestational diabetes mellitus (GDM) has emerged as a significant global public health concern due to its association with adverse maternal and neonatal outcomes. The aim of the study was to assess the effects of GDM on maternal and neonatal outcomes. Methods: A prospective cohort study was conducted among 216 pregnant women diagnosed with GDM who were receiving care at Teaching Hospital Jaffna. Women with pre-existing diabetes were excluded from the study. Participants were followed from the time of GDM diagnosis until six weeks postpartum. Data were collected using structured questionnaires and a review of clinical records. Descriptive statistics were used to summarize the demographic and clinical characteristics. The chi-square test was used to assess the association between blood glucose control and adverse maternal and neonatal outcomes. A p-value ≤0.05 was considered statistically significant. Results: The majority of participants (61.1%; n = 132) were aged 35 years or older. More than two-thirds of the participants (67.6%; n=146) were obese. The majority were multiparous (62%; n = 134), and GDM was diagnosed during the second trimester of pregnancy (61.1%; n = 132). A total of 17 mothers (7.9%) experienced a miscarriage during the current pregnancy. Maternal and neonatal complications were reported in 60 (27.8%) and 29 (14.6%) cases, respectively. A significant association was found between blood glucose control and both maternal (p<0.001) and neonatal complications (p=0.007). Conclusion: Despite the provision of multidisciplinary antenatal care for diabetes, women with GDM remain at increased risk for maternal and neonatal complications. Greater emphasis is required on targeting modifiable risk factors, particularly by enhancing adherence to diabetes management strategies during pregnancy. 2025-01-01T00:00:00Z http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/11390 Ruptured Cornual Ectopic Pregnancy Mimics as Acute Retention of Urine: A Case Report Guruparan, K.; Hemabala, R. Cornual ectopic pregnancy is a rare entity of extrauterine pregnancies and once ruptured, it is associated with high maternal morbidity and mortality. Most of the extrauterine pregnancies are detected with early pregnancy ultrasound scan, but there are diagnostic difficulties in the early detection of cornual ectopic pregnancy. Early recognition of unruptured cornual ectopic and interventions are associated with better outcomes. We report a case of successfully managed ruptured cornual ectopic pregnancy, which presented as acute retention of urine to the emergency unit at the Teaching Hospital, Jaffna. 2025-01-01T00:00:00Z http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/10807 Reducing the maternal deaths and learning leadership: can Sri Lanka learn from the UK experience? Karthikeyan, P.; Osanlou, O.; Lyons, N.; Guruparan, K.; Krishanth, M.D.A.; Jayaratne, K.; Knight, M. 2024-01-01T00:00:00Z http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/10804 Prenatal scan saves lives: Jejunal atresia with midgut volvulus: a case report Guruparan, K.; Umakanthan, N.; Rajendra, N.; Ranjithatharsini, V. 2024-01-01T00:00:00Z