Outcome of pregnancy among Pre-existing Type-2 Diabetic Women
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2014, Vol 4, Issue 12
Abstract
Background: Diabetes mellitus is now one of the most common non-communicable diseases globally. As diabetes is a chronic and debilitating disease, it may have adverse effect on pregnancy and pregnancy outcomes. Aim & Objective: To assess the outcomes of pregnancy among pre-existing type 2 diabetic women.Methods: A cross sectional study was conducted among randomly selected 121 pre-existing type-2 diabetic women of post partum period, attended in postnatal ward and outdoor of Obstetrics and Gynaecology department, BIRDEM-2 hospital, Shegunbaghicha, Dhaka during the period from January 2012 to June 2012.Results: The study results revealed that 43% of the respondents were within the age group of 31-35 yrs and only 7.4% was within the higher age group of >40 yrs. The mean age of the respondents was 33.37. Only 15.7% respondents had history of GDM in previous pregnancy. Mean difference between blood sugar level before current pregnancy and after delivery were significant (p<0.05). Gestational time of present baby, 68.6% were born before date and only 1.7% was post dated. Majority of the respondents delivered baby by caesarian section that was around 82.6%. Relationship of blood sugar level after delivery with mode of delivery was significant (p <0.05). Maternal outcome of the respondents 20.7% was premature labour and 1.7% was spontaneous abortion which is less common. Neonatal outcome 42.1% was live birth with no complication, 20.6% was hyperbillirubinaemia, 16.5% was respiratory disorder and 9.1% small for gestational age was common. Death after live birth was 1.7%. Low birth weight was 26.4%, 65.3% was normal and 8.3% was macrosomia. Conclusion: Pre-existing type 2 diabetes mellitus is a public health problem, so it is considered that the findings of the study will not only help as guideline for preventive programme, but also serve as useful basis for future research and planning
Authors and Affiliations
Rahman M , Islam MR , Alam UK , Yesmin K
Keywords
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