Diabetic Pregnancy

This is the authors' abstract. We don't add key points for this paper.

Objective: To evaluate perinatal complications in pregnancy complicated withdiabetes mellitus. Patients and Methods: During this study period all pregnant ladies regardlessof age and parity, who were diagnosed as having diabetes whether pregastational or gastationalwere included in this study. Perinatal outcome was observed in terms of birth weight,macrosomia, preterm baby, stillbirth, intrautrine death, neonatal death, respiratory distresssyndrome and congenital anomalies. All informations were recorded on prefromed proforma andanalysed through SPSS version 11. Study design: A descriptive observational study. Place andduration of study: This study was conducted in the department of obstetrics and gynaecologyunit- I at liaquat University Hospital Hyderabad, Sindh- Pakistan, from 12th July 2004 to 11th July2005. 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 neonataldeaths 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 pregnancywith diabetes. For a successful outcome of pregnancy in such patients a tight glycemic controlfrom conception till delivery, antepartum fetal surveillance and neonatal care by trainedpaediatrician must be ensured.