Diabetic Pregnancies


Abstract in English

This study examined 64 patients who visited The New Maternity Hospital at Damascus University. Those patients were divided almost equally between the three types of diabetes. Blood sugar was well controlled by : Diet in 20.3%, insulin in 70.3% and 9.4% of patients reported or came at delivery; So they recieved no treatment. The results were: 1. Obesity was the major combined risk factor among all patients. 2. The ideal time to deliver patients was between 38-40 weeks, the rate of stillbirth rises sharply when patients passe their EDD. 3. The rate of cesarean sections rose to 60.9% in diabetic patients compared to 15.8% in non diabetic patients. 4. Perinatal Morbidity and mortality rose (16 0% Vs 7.7 0%) due to increase in rate of congenital anomalies (7.8% Vs 2%) also due to macrosomia (21.3%) associated with immaturity leading to failure of the newborn to adapt with extra-uterine life.

References used

Alan H., Decherney, Mastin L. Pernoll. Current, Obstetric and Gynecologic Diagnosis and Treatment. Appleton and Lange 1994
Carron Brown S., Kyne - Grzeblaski D., Nwangi B., Taylor R. Effect of Management Policy Upon 120 Type. A Diabetic Pregnancies: Policy Decisions in Practice. Diabet Med. 1999 Jul.; 16(7) : 573-8
Cowett RM, Schwatz R. The Infant of The Diabetic Mother. paediatr Clin North Ames. 1982, 29: 1213-31

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