Assessment of the Impact of Twin Pregnancy on Obstetric and Perinatal outcomes in Diabetic Females
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 6
Abstract
Background: Diabetes mellitus affects 2 to 10% of pregnancies, and most (about 90%) of diabetes in pregnancy are gestational diabetes. Pregnancy is a relatively “diabetogenic” state due to the increase in hormonal antagonists of the insulin (e.g. human placental lactogen) resulting in reduced tissue sensitivity to insulin. Aim of the study: To assess the impact of twin pregnancy on obsetetric and perinatal outcomes in diabetic females. Materials and methods: The present study was conducted in the Department of Obstetrics and Gyneclogy at MGM Hospital, Navi Mumbai, Maharashtra. Medical records were reviewed to identify women with pregestational DM (type 1 or type 2) who gave birth to twins between the study period. Diabetes was defined according to the classification of the American Association of Diabetes. The following obstetric and perinatal outcomes were analyzed: gestational age at delivery, prematurity (pregnancy duration b37 or b34 weeks), mode of delivery (vaginal or cesarean), and birthweight. Results: The mean age of the patients in type 1 DM cases was 31.25 years and in type 2 DM cases was 32.8 years. The mean BMI in Type1 and Type 2 DM cases was 24.25 and 27.32 respectively. Hypertensive complications were seen in 2 cases each in Type 1 and Type 2 DM. the number of patients admitted to NICU was 8 in Type 1 and 6 in Type 2 cases. The mean birthweight in Type 1 DM was 2471 g and was at 68th percentile. Conclusion: The risk of peri-natal morbidity increases in women with pregestational diabetes; however, non-significant difference was observed between Type 1 and Type 2 diabetes mellitus patients.
Authors and Affiliations
Roopsi Saluja, Chetan Songire
Keywords
Related Articles
- EP ID EP545584
- DOI -
- Views 102
- Downloads 0
Pattern and outcome of admitted cases to Pulmonary Intensive Care Unit in a tertiary care centre of Punjab
Background: Early appropriate referral of patients to an ICU can significantly reduce mortality in critically ill patients. At the same time improper selection of patients for ICU often limits bed availability in ICU. Ai...
A COMPARATIVE STUDY OF SERUM IRON AND FERRITIN BETWEEN PRE-TREATED BREAST CANCER PATIENTS WITH HEALTHY CONTROLS OF THE SAME AGE GROUP
Introduction: Breast cancer is one of the leading cause of cancer related deaths in women and there are differences in breast cancer recurrence, aggressiveness and incidence between premenopausal and postmenopausal women...
EFFECT OF HEALTH BELIEF MODEL BASED EDUCATIONAL INTERVENTION ON PROMOTING BREAST FEEDING AMONG PRIMIPAROUS WOMEN OF PUNJAB, INDIA- A CASE-CONTROL QUASI EXPERIMENTAL STUDY
Objective: This study was conducted with the objective to determine the effect of breastfeeding education based on the health belief model (HBM) toward primiparous women of Punjab, India. Materials and Methods: In a case...
Tobacco Use Among Young Students and its Influence on Role Models
Background: Smoking is a noteworthy general wellbeing, especially in youthful grown-ups between the ages of 18 and 25. The primary target of this examination is to discover the use of tobacco among Young Students and its...
Otitis Media associated symptoms and types in study population
Background: Middle ear infection also called Otitis media (OM) is inflammation in the middle ear cleft and is accompanied by effusion of fluids into the middle ear due to infection which may be associated with the presen...