Abstract
Diabetes in pregnant women could be source of morbidity and mortality if management was not optimal. One of the main complications of diabetes in pregnant women is birth defects. They have an estimated prevalence of 1.5%. They can be isolated or associated to other malformations. Prevention includes systematic screening when monitoring pregnancies, in particular carrying out morphological obstetrical ultrasounds. A case of limb malformation secondary to unbalanced maternal diabetes and absence of prenatal diagnosis despite the high number of ultrasounds that have been performed is reported here. This situation requests more attention to the quality of antenatal ultrasounds caregiving in developing countries.
Highlights
A malformation is an irreversible defect in the conformation of a tissue, organ, or larger part of the body, resulting from an intrinsic developmental disorder
It was concluded to limb malformation secondary to maternal diabetes when taking into account the abnormalities and the context of unbalanced type 1 maternal diabetes
In a study carried out in Morocco in 2013, it was found that taking drugs such as antiepileptic or plants such as fenugreek was associated with a significant risk of congenital malformation occurrence [4]
Summary
A malformation is an irreversible defect in the conformation of a tissue, organ, or larger part of the body, resulting from an intrinsic developmental disorder. They can be isolated or be part of polymalformative syndromes [2] [3] They often pose diagnostic and therapeutic problems and are associated with high rate of mortality [3]. A case of limb malformation secondary to unbalanced maternal diabetes and absence of prenatal diagnosis is reported here despite the numerous obstetrical ultrasounds that have been performed. This situation requests more attention to the quality of antenatal ultrasounds caregiving in developing countries. This clinical case allows us to sensitize once again diabetic patients to rigorous management during pregnancy
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