Maternal outcome in pregnancies with overt diabetes
DOI:
https://doi.org/10.7439/ijbr.v7i7.3463Abstract
Introduction: Over the years pregnant patients with overt diabetes is increasing. Hence it is worthwhile to have a clinical study on overt diabetes complicating pregnancies . This study helps to know the frequency of occurrence of overt diabetes and its complications. This will help to know the importance of ante- natal care in preventing end organ damage such as blindness, renal damage, diabetic keto-acidosis etc. Design of the study: Prospective study. Method: All cases of pregnant mothers with overt diabetes registered over a period of 1 year .They were followed up till 7th day after delivery. Results: There were 72 overt diabetes cases in 16022 obstetric admissions. Mean age was 29 years (SD 5.5).>=30 yrs 45.8%, 30 yrs 54.16%.; Rural: Urban= 79%:21%, Hindu: Christian: Muslim=69.4%:11.1%:19.4% Above poverty line: Below poverty line=75%: 25%, 52 cases were multigravida, 20 cases were primigravida, Class B=65, D=1, C=3,and R=3, Elevated serum creatinine level-6(8.33%), Past obstetric hazards: Abortions-34%, IUD-13%, NND-5%, Increased HbA1c-13(18%), Vaginal delivery-29(40.28%), Instrumental delivery-14%, CS-47.22%, Maternal mortality- nil. Conclusion: Overt Diabetes in obstetrics patient is a high risk situation for both mother and the baby. Proper management from the pre conceptional period till delivery can bring about a very favorable outcome.Downloads
References
Vaarasmaki, Marja, Care and outcome of Finnish diabetic pregnancy department of Obstetrics & Gynaecology , University of Oulu, P>O Box 5000,FIN- 90014 University if Oulu, Finland 2001.
White P. Pregnancy complicating diabetes. Am J Md 1949; 7: 609-616.
WHO study group (1998) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus, provisional report of a WHO consultation. Diabetic Med 15: 539-553.
Kitzmiller JL, Brown ER, Phillipe M, Stark AR. Diabetic nephropathy and Perinatal outcome. Am J Obstet Gynecol 1991; 141-741.
Mackie AD, Doddridge MC, Gamsu HR, Brudenell JM. Outcome of pregnancy in patients with insulin dependent diabetes mellitus and nephropathy with moderate renal impairement. Diabet Med 1996; 87: 401.
Murphy J, Peters J, Morris P, Hays TM, Pearson JF, Conservative management of diabetes in pregnant women. BMJ 1984; 288: 1203-1205.
Padubidri VG, Shirish N Daftary, Shaw`s textbook of gynaecology. 13th edition 2005-198.
Agawal. S, Gupya A. N Gestational Diabetes. J. Obstetrics and Gynaecology Ind. 1983; 33: 197-200.
Goyal U, Mukharje SN: Astudy of diabetes mellitus during pregnancy and labour. J Obstetrics & Gynaecology. 1980: 30; 241-247.
ACOG technical bulletin. Diabetes and pregnancy. Number 200, Decembr 1994 committee on technical bulletins of American college of Obsttricians and Gynaecologists. Int J Gyn Obstet 1995; 48: 331-339.
Coustan DR, Berkowitz RL, Hobbins JC: Tight metabolic control of overt diabetes in pregnancy. Am J Md 1980; 68: 845-52.
The Diabetes Control and Complications Trial research group: The effect of intensive treatment of diabetes on the development and progression of long term complications in insulin-dependent diabetes mellitus. N Engl J Med 1993; 329: 977-86.
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