Diabetes Complicating Pregnancy in a Tertiary Care Center for 3 Months: An Observational Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Diabetes is the most common endocrine disorder complicating pregnancy. The incidence of both Type I and Type II diabetes is increasing worldwide. As the incidence of diabetes continues to rise and increasingly affects individuals of all ages including young adults and children, women of childbearing age are at increased risk of diabetes during pregnancy. Materials and Methods: It was an observational prospective study done at Government Theni Medical College, Theni, during 3 months between January and March 2017. All antenatal patients with gestational diabetes mellitus (GDM) and diabetes complicating were included in the study. Detailed history and physical and biochemical examinations were performed. Their outcome of delivery and neonatal and maternal complications were studied, and results were analyzed. Results: Maternal complications included pre-eclampsia, polyhydramnios, preterm delivery, infections, mode of delivery, and shoulder dystocia. Perinatal outcomes included macrosomia, hypoglycemia, hyperbilirubinemia, congenital malformations, respiratory distress, and perinatalmortality. Of the 35 cases, 95% were GDM and 5% Type II diabetes mellitus. Rate of pre-eclampsia was 25%, preterm delivery 20%, polyhydramnios 15%, and maternal infection 5%. Rate of cesarean section was 68%. The rate of congenital malformations was 2%, hypoglycemia 16%, respiratory distress syndrome 22%, and perinatal mortality rate 6%. Conclusion: Pre-eclampsia, preterm delivery, and polyhydramnios were the most common antenatal complications. Preterm delivery was significantly associated with perinatal mortality.
Authors and Affiliations
B Shanthirani
Keywords
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