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
Related Articles
- EP ID EP374343
- DOI -
- Views 78
- Downloads 0
A Study to Evaluate the Effect of Dexmedetomidine as Intrathecal Adjuvant to Ropivacaine for Hemodynamic Stability and Postoperative Analgesia in Gynecological Surgeries
Abstract: Many adjuvants have been used with local anesthetics in spinal anesthesia but none has been found ideal. We have conducted this prospective randomized double blind study to evaluate the effect of intrathecal de...
Specialist and Assistant Gynecologists’ Views about Defensive Medicine: Cross-sectional Study
Defensive Medicine, can be defined as the practice of diagnostic or therapeutic measures conducted primarily not to ensure the health of the patient, but as a safeguard against possible malpractice liability. Aim of the...
Liver Status and Oxidative Stress Activity of Wistar Albino Rat Fed Parkia Biglobosa Seeds
Abstract: The liver as a very important organ plays a central role in energy metabolism in the body. If the liver is impaired it could lead to serious clinical integrations. The study was designed to possibly investigate...
Epitheloid Variant of Myoepithelioma of Parotid Gland: A Case Report
Abstract: Myoepithelioma is a benign neoplasm of salivary glands, which represents 1.5 % of all salivary gland neoplasm. This may arise from the minor or major salivary glands. Histopathologically this is a benign tumour...
Study of pulmonary function tests in patients of chronic obstructive pulmonary disease
Abstract: COPD is defined as a disease state characterized by airflow limitation that is not fully reversible. Our study aimed at studying pulmonary function tests in patients of chronic obstructive pulmonary disease (CO...