14- DIABETES MELLITUS IN PREGNANCY; MATERNAL & PRENATAL OUTCOME
Basrah Journal of Surgery,
Volume 17, Issue 1, Pages 0-0
AbstractRabia 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.
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