Field

Description

Ranges/Category

Participant ID

ID of Patients Visited

600 Patients

25OHD checked yes (1) or no (0)

25(OH)D is the only vitamin D metabolite that is used to determine whether a patient is vitamin D deficient, sufficient or intoxicated.

0-Not checked; yes-checked; Null-Not filled

Date Form Signed

Filled the details on these dates

Year-2013, 2014

Systolic BP (mmHg)

Systolic pressure is the maximum blood pressure during contraction of the ventricles.

Normal SBP/DBP: ≤120/80 mmHg; Prehypertension: 120 - 139/80 - 89 mmHg; and Hypertension: ≥140 and/or ≥90 mmHg

Diastolic BP (mmHg)

The diastolic reading, or the bottom number, is the pressure in the arteries when the heart rests between beats.

Normal-60 to 90; Hypertension > 90;

Hypotension < 60

Pulse (bpm)

A pulse refers to the rhythmic expansion and contraction of an artery as blood is pumped through it by the heart.

Normal 60 to 100 bpm; Tachycardia > 100

Weight (kg)

Weight of the patient measured in kilograms

Height (m)

Height of the Patient measured in meters

BMI (kg/m2)

Body mass index (BMI) is a person’s weight in kilograms divided by the square of height in meters.

Below 18.5. - Underweight; 18.5 - 24.9: Healthy Weight; 25.0 - 29.9: Overweight; ≥30.0: Obesity

Smoking 123

Smoking status of the patient

1-Current smoker 2-Ex smoker 3-Never smoked

Alcohol Intake

Alcohol use by the Patient. It is in units/week

1-took current week 0-didn’t take current week

Ethnicity

Race of Patients

1 = White, 2 = mixed, 3 = Asian. 4 = black 5 = Chinese, 6 = other

GDM performed, GDM V1 & V2, Dx with GDM

Previous Gestational diabetes mellitus (GDM), if patient has a history for GDM. GDM screening is a common test performed during pregnancy to detect GDM, a type of diabetes that can develop during pregnancy. It is recommended that all pregnant women be screened for GDM between 24 and 28 weeks of pregnancy. Dx stands for Diagnosis.

normal = level below 140 mg/dL, glucose tolerance = 140 mg/dL to less than 190 mg/dL, gestational diabetes = 190 (mg/dl) and higher

GCT, GCT 1 h value > 7.5 mM, GCT 1 h value > 7.8 mM, GCT 1 h value > 7.2 mM, GCT 1 0 screening test.

The Glucose Challenge Test is a screening test used to detect Gestational Diabetes in pregnant women. The results have been taken if the GCT value > 7.5 mM, GCT 1 h value > 7.8 mM, GCT 1h value > 7.2 mM 1 hour after drinking the glucose solution.

If yes then 1, else 0

OGTT 0 H Value, OGTT 1H, OGTT 2 H.

The oral glucose tolerance test (OGTT) is one method of evaluating an individual’s apparent insulin sensitivity and insulin resistance. This is done at visit 3. For this fasting is done before test.

Fasting glucose: less than 100 mg/dL (5.6 mmol/L) Normal 1 hour glucose: less than 200 mg/dL (11.1 mmol/L) Normal 2-hour glucose: less than 140 mg/dL (7.8 mmol/L) Normal.

PMHx

Previous Medical History

Chronic Illness

History of Chronic diseases in patients, such as heart disease, cancer, diabetes, stroke, and arthritis

Medications

Whether the patient is having any medications or not currently

Names of medications given

Hx GDM, glycosuria, 1st degree rel

1st degree rel - History of GDM in first degree relative of patient

Hx GDM - History of GDM in patient

Glycosuria is a condition where glucose is detected in urine at higher concentrations than normal.

Glucose concentration of 0.3 to 0.5 g/L (1500 to 2500 mg/L) in a random urine sample is considered within the normal range for glycosuria during pregnancy.

High Risk 10

Whether the patient considered as high risk or not based on Hx GDM, glycosuria, 1st degree rel

If yes then 1, else 0

Screening method

OGTT: Oral glucose tolerance test-75 g glucose load GCT: Glucose Challenge Test-50 g glucose load

1 = OGTT 2 = GCT

Vit D List used

Maternal vitamin D deficiency during pregnancy appears to be associated with an increased risk of gestational diabetes. Patients were asked usage of vitamin D supplements.

Yes/No

1st DASS score > 33

The DASS score refers to the Depression, Anxiety and Stress Scale, which is a self-reported questionnaire that assesses the severity of symptoms of depression, anxiety and stress in individuals.

A score of 33 or above on any of the DASS scales is generally considered to be in the “severe” range. If DASS > 33 then 1, else 0

Ref to Psych

If the patient has been referred to a psychiatrist

If yes then 1, else 0

Gestational Age, LMP

During pregnancy, gestational age (GA) is typically estimated based on the woman’s last mensural period (LMP) and confirmed by ultrasound measurements.

GA is provided in weeks

EDD V1, US EDD

EDD in gestational diabetes refers to the estimated due date at the first antenatal visit during pregnancy. It is calculated based on the last menstrual period. US EDD refers to Ultrasound Estimated Due Date.

The actual date of delivery can vary, and it’s considered normal for a baby to be born between 37 and 42 weeks of pregnancy.

V1 HbA1c (mmol/mol)

HbA1c (mmol/mol) refers to the measurement of the level of glycosylated hemoglobin (HbA1c) which shows the glucose level management for the past 3 months.

Diabetes > 48 mmol/mol (6.5%),

normal values < 5.4% in the 1st and 2nd trimesters and values < 5.7% in the 3rd trimester

WCC

WCC stands for White Cell Count, which is a blood test that measures the number of white blood cells in the bloodstream.

WCC within the range of 5000 to 15,000 cells per microliter (µL) is considered normal during pregnancy.

Hb

Hb refers to the hemoglobin level in patients to detect anemia or other blood-related health issues.

First Trimester = 11.6 - 13.9 g/dL; Second Trimester = 9.7 - 14.8 g/dL; Third Trimester = 9.5 -15 g/dL

Platelets

Platelets are a type of blood cell that helps with clotting, and their count may be used to detect potential blood-related health issues during pregnancy.

Normal: 140,000 or 150,000 platelets per µL; below 100,000 thrombocytopenia; below 50,000 platelets, risk of excessive bleeding during delivery

Creatinine

Creatinine is a waste product that is filtered out of the blood by the kidneys, and its level in the blood may be used to detect potential kidney-related health issues during pregnancy.

1st Trimester = 0.4 - 0.7 mg/dL; 2nd Trimester = 0.4 - 0.8 mg/dL; 3rd Trimester = 0.4 - 0.9 mg/dL

Calcium

Calcium is an essential mineral that is important for many bodily functions, including bone health, muscle function, and nerve transmission.

Normal, 2.12 to 2.62 millimoles per liter (mmol/L)

Albumin

Albumin is a protein that is produced by the liver and helps to maintain fluid balance in the body. Its level in the blood may be used to detect potential health issues during pregnancy, including pre-eclampsia.

Normal: 35 to 55 grams per liter (g/L)

ALT

ALT (Alanine Aminotransferase) is a liver enzyme. Increased activities of ALT are an indicator of hepatocellular injury and associated with insulin resistance, metabolic syndrome, and type 2 diabetes.

1st Trimester (V1): 3 - 30 U/L, 2nd Trimester (V2): 2 - 33, 3rd Trimester (V3): 2 - 25

CRP

CRP is a pentameric protein synthesized by the liver, whose level rises in response to inflammation.

First Trimester (V1): Not reported Second Trimester (V2):0.4 - 20.3 Third Trimester (V3): 0.4 - 8.1

U albumin

Albuminuria, or the presence of high levels of albumin in urine, is a sign of kidney damage that may indicate an increased risk of developing complications during pregnancy.

less than 30 mg/g creatinine.

U protein

U protein, also known as urine protein or proteinuria, refers to the measurement of protein in urine. Proteinuria is a sign of kidney damage that may indicate an increased risk of developing complications during pregnancy.

proteinuria > 300 mg/d was associated with preterm birth, preeclampsia with severe features, and birthweight < 10th percentile.

U creatinine

U creatinine, also known as urine creatinine, refers to the measurement of creatinine in urine.

Normal: 7 to 13 millimoles per liter (mmol/L).

PCR

PCR creatinine, also known as urine protein-to-creatinine ratio, refers to the measurement of protein in urine, normalized to the concentration of creatinine in urine.

≥0.3 mg/mg Cr

EDD estimation method

2 methods: CRL: Crown_Rump_Length.

BPD: Biparietal diameter is the cross-sectional diameter of the skull, also known as the fetal head circumference

CRL/BPD

Prescription for Caltrate sent?

This column talks about if the patient is prescribed Calcium supplementation (Caltrate) or not

If yes then 1, else 0

Date Prescription sent?

Date at which the supplementation was prescribed

Date Format

Miscarriage before 28/40

If the patient had miscarriage before the 28th week.

If yes then 1, else 0

Withdrew before 28/40

If the patient withdrew from participating in this research study before 28 weeks

If yes then 1, else 0

Screening DNA

DNA screening is a test that can determine if a woman has a higher chance of having a fetus with Down syndrome.

If yes then 1, else 0

Date Screening

Screening date

Date Format

1h glucose

Glucose levels one hour after drinking the glucose solution

1 hour glucose: less than 200 mg/dL (11.1 mmol/L) Normal

GCT Ref to DNS?

Whether the GCT abnormal tested patient was referred to Diabetes Nurse Specialist (DNS)

If yes then 1, else 0

OGTT Ref to DNS

Whether the OGTT abnormal tested patient was referred to Diabetes Nurse Specialist (DNS)

Yes-done; No-Not Done

Delivered before 36/40 10

If the delivery was done before 36 weeks of GA.

1-yes 0-no

Abdominal Circumference

it is the measurement of the distance around a woman’s abdomen at the level of her belly button, and it is used to estimate fetal growth during pregnancy.

Data given in cm

Weight change (%)

% weight change from visit 1 to visit 3

%

BP change (%)

% change in bp from visit 1 to visit 3

%

HbA1c Change (%), HbA1c rise > 10%, HbA1c rise > 5%

% change in HbA1c from visit 1 to visit 3

If there is change, yes = 1/else no = 0

Hb change (%)

% change in Hb from visit 1 to visit 3

%

Create change (%)

% change in Creatinine from visit 1 to visit 3

%

ALT change (%)

% difference in ALT levels in visit 1 and 3

%

CRP change (%)

% difference in CRP levels in visit 1 and 3

%

PCR change (%)

% difference in PCR in visit 1 and 3

%

Date of Data Collection

When was data collected: V1-Visit 1 (First Trimester); V2-Visit 2 (Second Trimester); V3-Visit 3 (Third Trimester); Fetal data – Visit 4 (after delivery)

Date Format

Attended GDM clinics

If the patient attended GDM clinic or not.

1-yes 0-no

Diagnosed with Vit D Deficiency

If the patient has deficiency of Vitamin D

1-yes 0-no

Took Vit D Supplements

If the patient takes Vit D supplements

1-yes 0-no

Number obstetric clinics

Obstetrics Clinic is a clinic that specializes in the care of women during pregnancy and childbirth and in the diagnosis and treatment of diseases of the female. This column talks about the number of times the patient visits these clinics.

Range in our dataset is from 1 - 10

Number GDM clinics

The number of times the patient visits the gestational diabetes clinic

Range in our dataset is from 1 - 8

Nutritional counselling

If the patient received nutritional counselling.

Yes/No 1 = Yes 0 = No

Glucose lowering therapies

If the patient takes any blood glucose lowering therapies

Yes/No 1 = Yes 0 = No

Insulin/Metformin

use of insulin or metformin for lowering the glucose levels.

Insulin/Metformin response

Gestational hypertension

Gestational hypertension is a condition happens when you only have high blood pressure during pregnancy and do not have protein in your urine or other heart or kidney problems.

Higher that 140/90 mmHg

Pre-eclampsia

Preeclampsia is a complication of pregnancy. With preeclampsia, you might have high blood pressure, high levels of protein in urine that indicate kidney damage (proteinuria), or other signs of organ damage.

Yes/No 1 = Yes 0 = No

Eclampsia

Eclampsia is the new onset of seizures or coma in a pregnant woman with preeclampsia. These seizures are not related to an existing brain condition.

Yes/No 1 = Yes 0 = No

HELLP

HELLP (Hemolysis, Elevated Liver enzymes and Low Platelets) syndrome is a life-threatening pregnancy complication usually considered to be a variant of preeclampsia.

Yes/No 1 = Yes 0 = No

Induction

Labor induction is prompting the uterus to contract during pregnancy before labor begins on its own for a vaginal birth.

If induction done = 1; else 0

Caesarean, LSCS

A C-section is an operation to deliver the baby through the mother’s belly. A woman who has diabetes that is not well controlled has a higher chance of needing a C section,

If C section done = 1; else 0

Emergency

Whether the delivery was emergency or not

If emergency = 1; else 0

Instrumentation

Instrumental delivery is delivery by emergency C Section

If instrumentation = 1; else 0

Still-birth

Stillbirth is when a baby dies in the womb after 20 weeks of pregnancy.

If still birth = 1; else 0

Twins 10

Whether the patient is having twins

If twin birth = 1; else 0

Birth weight (kg)

Most babies born between 37 and 40 weeks weigh somewhere between 5 pounds, 8 ounces (2500 grams) and 8 pounds, 13 ounces (4000 grams). With gestational diabetes, higher chances of higher baby birth weight.

BW >5 pounds, 8 ounces: High birth weight

BW< 3 pounds, 5 ounces: very low birthweight

Twins weight

Average twin weighs 5.5 pounds

No Data

Apgar 1 minute, Apgar 3 minutes

Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the health care provider how well the baby is doing outside the mother’s womb.

The Apgar score will range from 0 to 10. The higher your baby’s Apgar score, the better they’re doing after birth.

Birth Injury

Birth injury is defined as an impairment of the neonate’s body function or structure due to an adverse event that occurred at birth.

Yes/No

Shoulder dystocia

Shoulder dystocia happens when one of the baby’s shoulders gets stuck behind the mother’s pubic bone (the bone behind the pubic hair) or sacrum (the bone at the back of the pelvis, above the tailbone) during birth.

Yes/No

Brachial plexus injury

An injury to the brachial plexus nerves means that brachial plexus may be stretched, compressed, or torn in a difficult delivery.

Yes/No

Other nerve injury

Nerve damage can occur when there is compression of the peripheral nerves during childbirth. carpal tunnel syndrome, femoral neuropathy, and post partial foot drop.

Yes/No

Clavicular fracture

A fractured clavicle in the newborn is a broken collar bone in a baby that was just delivered.

Yes/No

Skull fracture

maternal diabetes, including gestational diabetes, was associated with an increased risk of birth trauma, including skull fractures, in offspring.

Yes/No

Humeral fracture

Humeral fractures are the second common long bone fractures of the neonatal period after clavicle

Yes/No

Other birth injury

Cerebral palsy, caput succedaneum and cephalohematoma, Neonatal Intracranial Hemorrhage, hydrocephalus, cervical Dystonia, hemiplegia, Hemorrhagic Stroke, Neonatal Stroke, HIE, Infant Seizures.

Yes/No

Antenatal steroid use

Antenatal steroid use refers to the administration of corticosteroids to pregnant women before delivery to promote fetal lung maturation.

Yes/No

Perinatal death

Perinatal death refers to the death of a fetus or newborn during the perinatal period, which includes the time from 20 weeks of gestation through the first week of life.

Yes/No

Fetal hypoglycemia

Infants born to women with poorly controlled gestational diabetes were more likely to experience fetal hypoglycemia (low glucose levels).

Yes/No

Fetal jaundice

Fetal jaundice, also known as neonatal hyperbilirubinemia, refers to a condition where a newborn baby’s skin and eyes appear yellow due to a high level of bilirubin in the blood.

Yes/No

Fetal phototherapy

Fetal phototherapy is a treatment for neonatal hyperbilirubinemia, a condition where a newborn baby’s skin and eyes appear yellow due to a high level of bilirubin in the blood.

Yes/No

Total bilirubin

Total bilirubin is a measure of the amount of bilirubin in the blood, which is an important marker for neonatal jaundice or hyperbilirubinemia.

Yes/No

Surfactant use

Surfactant is a substance that helps to reduce surface tension in the lungs, allowing them to expand and contract more easily during breathing.

If surfactant used, Yes/else, no

RR>60

Respiratory rate (RR) is a measure of the number of breaths a person takes per minute.

RR > 60 is a sign of respiratory distress or failure

SCBU

It is Special Care Baby Unit for the care and treatment of newborn babies that are ill or premature.

Yes/No

Cong malformation

Congenital malformation refers to physical or structural abnormalities that occur in a fetus during pregnancy. These abnormalities can affect any part of the body, including the heart, brain, limbs, or internal organs.

Yes/No

Spina bifida

Spina bifida is a birth defect that occurs when the spinal cord and surrounding tissues do not develop properly in the womb.

Yes/No

Cleft palate

Cleft palate is a congenital condition in which there is an opening or split in the roof of the mouth

Yes/No

Cleft Lip

Cleft lip is a congenital deformity in which the upper lip fails to fuse properly during fetal development, resulting in a split or opening in the lip

Yes/No

Hydrocephalus

Hydrocephalus is a condition characterized by an accumulation of cerebrospinal fluid (CSF) within the brain, which leads to an increase in intracranial pressure (ICP).

Yes/No

Cardiac murmur

A cardiac murmur is a whooshing or swishing sound heard during a heartbeat, caused by turbulent blood flow in the heart

Yes/No

Cardiac anomaly

A cardiac anomaly refers to any structural defect or abnormality in the heart or its major blood vessels. It can affect the heart’s function and cause problems with blood flow and oxygen supply to the body’s organs and tissues.

Yes/No

Tetralogy of Fallot

Tetralogy of Fallot is a congenital heart defect that involves four abnormalities in the heart’s structure, leading to inadequate oxygen supply to the body

Yes/No

Transposition of Great arteries

Transposition of the great arteries is a congenital heart defect in which the two main arteries leaving the heart are switched

Yes/No

Septal defect

Septal defect refers to a type of congenital heart defect that involves an abnormal opening in the septum (wall) between the heart’s chambers.

Yes/No

Another cardiac anomaly

Other Cardiac Related Problems

Yes/No

Epidural

Epidural is a type of pain relief medication that is administered to women during labor and childbirth

Yes/No

Spinal

Spinal anesthesia is a type of regional anesthesia that is used to provide anesthesia or numbing of the lower body during surgical procedures or childbirth

Yes/No