Symptomatic urinary tract infection in diabetic pregnant women, effect of the type of diabetes and glycemic control

Objectives: to compare the prevalence of symptomatic urinary tract infection [S?UTI] in women with gestational diabetes mellitus [GDM], pregestational diabetes mellitus [PGDM], and the effect of glycemic control methods

Materials and Methods: this is a retrospective review of women with GDM and PGDM, who had S?UTI treated at Sultan Qaboos University Hospital between January 1, 2009, and December 31, 2010

Results: from a total of 639 women with diabetes mellitus [DM], 91% [n = 581] had GDM and 9% [n = 58] had PGDM. The prevalence of S?UTI was 6.7% [n = 43]. The prevalence of S?UTI was 6.5% [n = 38] in women with GDM and 8.6% [n = 5] in women with PGDM. In women with GDM, S?UTI occurred in 4.6% [n = 5] of insulin users compared to 6.9% [n = 33] in noninsulin users. Differences were not statistically significant

Conclusion: the prevalence of S?UTI is similar in women with GDM and PGDM regardless of the method used for glycemic control

Meternal and neonatal outcome of high order gestation

To study maternal and neonatal outcome of triplets, quadruplets and quintuplets gestations. This retrospective review of 21 triplets, 3 quadruplets and 3 quintuplet's delivered between 1st January 1990 and 31st of August 2001. Preterm labour was the most common maternal complication [96.3%]. The 27 high order gestations resulted in 88 live bir ths and two stillbir ths. The early neonatal mor tality rate for the entire group was 91, 45 late neonatal deaths and 57 infant deaths. 71 [80.7%] of the 88 live born infants survived to discharge.The incidence of respiratory distress syndrome was 69.3% and mechanical ventilation had also been necessary in 69.3% of newborns, patent ductus ar teriosis was diagnosed in 7.9% of cases. Intraventricular hemorrhage had been diagnosed in 13.6% of cases. Nercotizing enterocolitis occurred in 8 cases. Neonatal sepsis was diagnosed in 24 cases [27.3%]. Early diagnosis, meticulous antenatal care, early hospitalization, frequent evaluation of fetal well being, delivery by cesarean section and on site availability of trained neonatologists and a highly functional intensive care unit are essential for better outcome