Diabetes mellitus during pregnancy: a study of fifty cases

ABSTRACT

To review and critically evaluate the incidence, epidemiology, clinical pattern, diagnosis, management, complications and outcome of diabetes mellitus during pregnancy in hospital based study. Setting: A study of 50 cases of diabetes mellitus during pregnancy studied during the period 1ST June 2001 to 1st June 2003 at Department of Obstetrics and Gynecology Unit-II, Jinnah Hospital, Lahore. Main outcome measures: Maternal and fetal outcome. Total number of women delivered were 11271. Fifty cases of diabetes mellitus during pregnancy were studied. Mostly the patients were more then 30 years of age, multiparous ladies with gestational diabetes in 80% of cases, Type-II diabetes in 16% and only in 4% Type-I diabetes was reported. Insulin was required in 40% of patients. Eight women out of 50 had spontaneous miscarriage, 5 underwent preterm delivery while 36 reached term with one intrauterine death. Total number of babies delivered alive were 41. There was one stillbirth and 3 neonatal deaths. Management of diabetes mellitus in pregnancy involves teamwork of Obstetricians,Physicians and Neonatologists