Maternal and fetal outcome in pregnant patients with diabetes.

Abstract

Objective: To observe maternal and fetal outcome in pregnant patients with diabetes. Aim of my study is to access the poor fetal maternal outcome with diabetes so that we can focus more on early and proper disease and have fair management throughout the pregnancy. Study Design: Descriptive study. Setting: Independent University Hospital Faisalabad. Period: January 2017 to January 2019. Material & Methods: It is descriptive study, 200 patients were selected who were pregnant with diabetes. The patients included who were newly diagnosed by glucose challenge test (GCT) or by glucose tolerance test (GTT) or who already had elevated HbA1c. The study was started after acquiring permission from ethical committee. Result: The above study concluded that the adverse outcome with diabetes is increased in terms of congenital malformation, miscarriage, preterm labour, pre eclampsia and postpartum haemorrhage. There is dire need to concentrate more on early diagnosis and timely management of diabetes with pregnancy. The tenet of management is to maintain euglycemic state throughout pregnancy. Conclusion: Prepregnancy care was associated with improved glycemic control in early pregnancy and significant reductions in adverse pregnancy outcome (malformation, stillbirth, and neonatal death) and very premature delivery. However, prepregnancy care failed to have an impact on glycemic control in later pregnancy or to reduce the risk of macrosomia and preeclampsia.