FETAL OUTCOMES IN DIABETIC VERSUS NON DIABETIC PREGNANCIES
Keywords:
Diabetic pregnancy, fetal macrosomia, caesarean section, diabetes, NICUAbstract
Objective: To observe maternal and fetal outcomes in diabetic mothers as compared to non diabetics.
Material and Method: This was an observational descriptive study. A total of 150 patients were included. Seventy
five patients were diabetic while rest half were non diabetic. This study was carried out at Khan Research Laboratory
Hospital(KRL) Islamabad -Pakistan,from July 2017 to December 2017. Statistical analysis was done using statistical
package for social sciences version 17.0 (SPSS version 17.0)
Results: There was higher rate of caesarean sections in diabetics, 62.67% versus 30.67% in non-diabetics.Mean weight
in diabetic mothers was 82.41±15.72 while in non diabetic patients it was 71.01±11.85. Mean weight of baby in diabetic
group was 3.58±0.57kg as compared to 2.9±0.62kg in non-diabetic group. There was almost double the rate
of neonatal resuscitation in diabetic group (21.91% versus 10.66% with p. 0.001). Correspondingly, there is a 3- fold
increase in Neonatal ICU (NICU) admission or observation in diabetics. Fetal macrosomia (weight of more than 4kg)
was observed in 29 (38.67%) in diabetics versus 3 (4%) of cases in non diabetics. Mean weight of baby with HbA1c
?6.9 was 3.51 ± 0.49 while it was 3.70 ± 0.72 with HbA1c ?7.0.
Conclusion: Caesarean section was performed twice as frequently in diabetics as compared to non diabetics. Fetal
macrosomia was almost 10 times higher in diabetic pregnancies. Mean weight of baby tends to be higher in mothers
with impaired glycemic control.
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