Keywords : MATERNAL
Basrah Journal of Surgery,
Volume 17, Issue 1, Pages 0-0
Rabia A Alkaban* & Methal A AL-Rubaee@
*MB,ChB. @MB,ChB, DGO, CABOG, Department of Obstetric & Gynecology, Medical College,
University of Basrah
This is a case-control comparative study carried out over the period (July 2007-July
2008) to identify the frequent type of D.M., analyze demographic features of diabetic
cases as well as to identify maternal, fetal & neonatal complications of D.M. during
This study included 160 diabetic pregnant women as (cases) compared to 180 nondiabetic
pregnant women as (control) who were admitted to three known hospitals with
obstetrical & Gynecology department during same period of study. Such controls had
approximated age & parity to that of cases.
Type 2 DM was the commonest type among cases who tend to be more advanced in
their age with higher BMI compared to controls. Three major risk factors that predispose
to 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 tract
injury in comparison to controls. Cephalo-pelvic disproportion consequent to
macrosomia was main indication for C/S in diabetic cases in whom not only macrosomic
newborns were more but also stillbirth rate was higher with lower Apgar score & more
admission to NICU.
Diabetic newborns were more likely to be affected by RDS, hypoglycemia & congenital
In conclusion, D.M. is a major medical disorder that exhibit burden on health of both
mother & fetus with high maternal morbidity, prenatal & neonatal morbidity & mortality.
Basrah Journal of Surgery,
Volume 12, Issue 1, Pages 3-3
This study aimed to determine the MMR in Basra hospitals for 20 years (1983-2002), to determine the main causes of maternal deaths with regards to direct, indirect & fortuitous causes & to verify the impact of major events including wars & sanction on the trend of maternal deaths. This is a retrospective study included all maternal deaths occurred in hospitals as well as deaths recorded in emergency departments, forensic medicine department & statistical units throughout the study period. Detailed information was taken to verify the cause of death in each woman. A total of 206 deaths occurred during the study period, MMR did not run a steady fashion, they showed gradual decline during 1980s. Following the second gulf war, there was considerable increase in MMR with the peak one observed in 1996. There after the ratio decline gradually to pre 2nd war levels. Direct obstetric causes remain the major causes of maternal death throughout the 20 years with, in a decreasing frequency, hemorrhage, sepsis & AFE were the major direct causes. However, indirect causes showed some, but noticeable increment during the sanction years. We concluded that the major political events, including wars that Iraq & Iraqi peoples exposed to had substantial adverse influence on the trends of maternal deaths. Although a direct maternal death outweigh indirect death, however, sanction years caused obvious increment in direct deaths.