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14- DIABETES MELLITUS IN PREGNANCY; MATERNAL & PRENATAL OUTCOME

Methal A AL-Rubaee --- Rabia A Alkaban

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2011 Volume: 17 Issue: 1 Pages: 95
Publisher: Basrah University جامعة البصرة

Abstract

Rabia A Alkaban* & Methal A AL-Rubaee@*MB,ChB. @MB,ChB, DGO, CABOG, Department of Obstetric & Gynecology, Medical College,University of BasrahAbstractThis is a case-control comparative study carried out over the period (July 2007-July2008) to identify the frequent type of D.M., analyze demographic features of diabeticcases as well as to identify maternal, fetal & neonatal complications of D.M. duringpregnancy.This study included 160 diabetic pregnant women as (cases) compared to 180 nondiabeticpregnant women as (control) who were admitted to three known hospitals withobstetrical & Gynecology department during same period of study. Such controls hadapproximated age & parity to that of cases.Type 2 DM was the commonest type among cases who tend to be more advanced intheir age with higher BMI compared to controls. Three major risk factors that predisposeto develop GDM were family history of type 2 or GDM, advanced maternal age & obesity.Diabetic pregnancy was more likely complicated by abortions, hypertensive disorders,polyhydramnious and preterm delivery with high C/S rate as well as P.P.H. & birth tractinjury in comparison to controls. Cephalo-pelvic disproportion consequent tomacrosomia was main indication for C/S in diabetic cases in whom not only macrosomicnewborns were more but also stillbirth rate was higher with lower Apgar score & moreadmission to NICU.Diabetic newborns were more likely to be affected by RDS, hypoglycemia & congenitalmalformation.In conclusion, D.M. is a major medical disorder that exhibit burden on health of bothmother & fetus with high maternal morbidity, prenatal & neonatal morbidity & mortality.

Keywords

DIABETES MELLITUS --- PREGNANCY --- MATERNAL --- PRENATAL