A Clinical Study of Maternal Complications and Perinatal Outcomes in Diabetes Complicating Pregnancy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 6
Abstract
The objective of the study was to evaluate the maternal complications and perinatal outcomes in diabetes complicating pregnancy. It was a prospective cohort study performed in J S S Hospital Mysore in 50 antenatal patients with diabetes admitted to J S S Hospital during the period of November 2007 to July 2009. Maternal complications included preeclampsia, polyhydramnios, preterm delivery, infections, mode of delivery and shoulder dystocia. Perinatal outcomes included macrosomia, hypoglycemia, hyperbilirubinemia, congenital malformations, respiratory distress and perinatal mortality. Of the 50 cases 90% (45) were gestational diabetes mellitus, 6% (3) type I diabetes mellitus and 4% (2) type II diabetes mellitus. Rate of pre eclampsia was 20.83%, preterm delivery 16.66%, polyhydramnios 16.66% and maternal infection 4.16%. Rate of cesarean section was 67.39%. The rate of congenital malformations was 2.08%, hyperbilirubinemia 27.08%, hypoglycemia 14.58%, respiratory distress syndrome 12.5% and perinatal mortality rate was 8.33%. In conclusion, pre-eclampsia, preterm delivery and polyhydramnios were the most common antenatal complications. Hyperbilirubinemia is the most common neonatal complication requiring NICU admission. Preterm delivery was significantly associated with perinatal mortality. Keywords: Gestational diabetes mellitus , Pregestational diabetes, Maternal complications, Perinatal outcome.
Authors and Affiliations
Kavyashree KS, Suma KB, Prashanth SN
Keywords
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