Diabetes during Labour: Types, Mode of Delivery and Fetal Outcome in Erbil Maternity Teaching Hospital

Abstract

A field study on 54 pregnant women during labor with pre gestational and gestational diabetes in
 Erbil Maternity Teaching Hospital ,Erbil city , Kurdistan region Iraq from 1st of January to the 1st of
 March 2005 was carried out to determine the types of diabetes, mode of delivery and neonatal out come .
 Total deliveries in this period were 2891, making the rate of diabetes during labor 1.9%. Mean maternal
 age was33.65±5.35 years, mean maternal weight was 79.50±13.5 kg, 3.7% of patients were primigraivid
 while 57.41 % were grandmultiparus.63% of diabetic patients in our study were Gestational diabetes
 while 37% were pregestational diabetes (Type 1 and Type 2 Diabetes).There was no statistically
 significant correlations between the types of diabetes and maternal age, weight, and parity.61.1% of the
 patients delivered by Caesarean Section (Emergency and Elective) while 29.6% of cases delivered
 spontaneously vaginally .The most common indication for Caesarean Section was Cephalo pelvic
 Disproportion .The perinatal mortality in the study group was 6 (2 macerated stillbirth, 2 fresh stillbirth
 and 2 early neonatal deaths), there were 5cases (9.2%) of congenital fetal malformations (4 congenital
 heart disease and one case of club foot (all were newborns of pregestational diabetic mothers).