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EP1.143
Foetal outcomes in pregnant diabetics with sub-optimal glycaemic control

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Foetal outcomes in pregnancies complicated by Diabetes Mellitus

A retrospective study

Vaidya A1, Gupta M1, El Kady A1,Al Saffar N, Koujan F1, Sethi P1,

1= Farwaniya Hospital Kuwait

Introduction

Women with diabetes account for 2–5% of  pregnancies.1 The prevalence of type 1 and type  2 diabetes is increasing. Particularly type 2 diabetes is increasing in certain groups like African, black Caribbean, South Asian, Middle Eastern and Chinese.2 Women with type 1 and type  2 diabetes have an increased risk of adverse pregnancy outcomes, including miscarriage, fetal congenital anomaly and perinatal death3,4Treatment of gestational diabetes reduces serious perinatal morbidity and may also improve the woman’s health-related quality of life.5

 

Objective

To compare foetal outcomes in pregnancies complicated by Gestational Diabetes, Type1 and Type2  with good glycaemic control versus poor glycaemic control.

Methods

It was a retrospective cohort study in Farwania hospital-Kuwait. Hospital data- base was used to identify patients with any of the 3 types, Gestational, Type 1, Type 2 , who delivered in Farwania hospital in from 1st  January to 31st December 2009.

Data was analysed in MS excel and the T- test used for statistical significance.

Fetal outcomes studied were birth weight, preterm delivery, Infant respiratory distress Syndrome (IRDS), hypoglycemia, hyperbilrubinemia, transient tachypnea of the newborn (TTN), birth asphyxia (BA), shoulder dystocia, birth injury, congenital anomalies and perinatal mortality in those with good versus those with poor control.

Good blood glucose control defined as fasting blood sugar less than 5.9 MMol per liter; one hour post prandial less than 7.8 MMol per liter.6

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