DIABETIC PREGNANCY

PERINATAL COMPLICATIONS

Abstract

Objective: To evaluate perinatal complications in pregnancy complicated with
diabetes mellitus. Patients and Methods: During this study period all pregnant ladies regardless
of age and parity, who were diagnosed as having diabetes whether pregastational or gastational
were included in this study. Perinatal outcome was observed in terms of birth weight,
macrosomia, preterm baby, stillbirth, intrautrine death, neonatal death, respiratory distress
syndrome and congenital anomalies. All informations were recorded on prefromed proforma and
analysed through SPSS version 11. Study design: A descriptive observational study. Place and
duration of study: This study was conducted in the department of obstetrics and gynaecology
unit- I at liaquat University Hospital Hyderabad, Sindh- Pakistan, from 12th July 2004 to 11th July
2005. Results: Among perinatal complications macrosomia was observed in 44% of fetuses,
congenital malformations in 5 infants of diabetic mothers. Stillbirth was noted in 5% and neonatal
deaths in 10% babies. 55% of neonates suffered from hypoglycemia and 33% had birth asphaxia.
Conclusions: It was observed in our study that perinatal outcome is highly affected in pregnancy
with diabetes. For a successful outcome of pregnancy in such patients a tight glycemic control
from conception till delivery, antepartum fetal surveillance and neonatal care by trained
paediatrician must be ensured.