Mansoura University ; , Faculty of Medicine ; , Departments of Obstetrics and Gynecology ;
Benha Medical JournalJournal Country: Egypt ISSN: 1110-208X Type of Publication: Journal Article Country of Research: Egypt WHO Eastern Mediterranean Region Type of Research: Clinical Keywords: Humans, Female, Pregnant Women ,Pre-Eclampsia ,Cesarean Section ,Utilization ,Polyhydramnios ,Fetal Macrosomia ,Etiology ,Hospitals, University ,Pregnanayoutcome
Presence of diabetes mellitus during pregnancy has important consequences for both mother and fetus. Study maternal and fetal outcome among pregnant diabetic women in Mansoura University Hospital.
Reprospective study was performed in the antenatal care unit, Mansoura University Hospital in the period from September, 2003 to October, 2005. The study group included 215 pregnant diabetic women, in addition to 200 cases with normal pregnancies as control group. The study group included 145 cases with pre-gestational D. M and 70 cases with gestational D. M. The maternal and fetal outcomes were studied and analyzed. In our study, pregnant diabetic patient represent 8.1% of total admission in antenatal care unit, this reflect the high incidence of D. M in Egypt. Maternal complications among pre-gestational D. M were higher than control including high rate of cesarean section 71.7%, pre-eclampsia 24.1%, urinary tract infections 15.1%, polyhydramnios 19.1% and ketoacidosis 2.7%. The most common adverse outcome in gestational D. M group was fetal macrosomia 51.4%. Infant, born to mothers with pregestational D. M were at increased risk of congenital malformations 8.3%, IUFD 5.5%, asphyxia 6.2% and neonatal death 8.3%. We recorded 40% of our study group as being poorly controlled. Early detection of D. M, optimal glycemic control in periconceptional period and throughout pregnancy and adequate fetal surveillance will improve the maternal and fetal outcome in diabetic patients
Raafat Abdel Fattah ,Alaa Wafa ,Ibrahim Abdel Aal ,
Maternal and fetal outcome in pregnant diabetic patients in Mansoura university hospital,
Benha Med. J. 2006;
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