Maternal outcome in pregnancies with overt diabetes

Abstract

Introduction: Over the years pregnant patients with overt diabetes is increasing . Hence it is worthwhile to have a clinical study on overt diabetes complicating pregnancies . This study helps to know the frequency of occurrence of overt diabetes and its complications. This will help to know the importance of ante- natal care in preventing end organ damage such as blindness, renal damage, diabetic keto-acidosis etc. Design of the study: Prospective study. Method: All cases of pregnant mothers with overt diabetes registered over a period of 1 year .They were followed up till 7 th day after delivery. Results: There were 72 overt diabetes cases in 16022 obstetric admissions. Mean age was 29 years (SD 5.5).>=30 yrs 45.8%, <30 yrs 54.16%.; Rural: Urban= 79%:21%, Hindu: Christian: Muslim=69.4%:11.1%:19.4% Above poverty line: Below poverty line=75%: 25%, 52 cases were multigravida, 20 cases were primigravida, Class B=65, D=1, C=3,& R=3, Elevated serum creatinine level-6(8.33%), Past obstetric hazards: Abortions-34%, IUD-13%, NND-5%, Increased HbA1c-13(18%), Vaginal delivery-29(40.28%), Instrumental delivery-14%, CS-47.22%, Maternal mortality- nil. Conclusion: Overt Diabetes in obstetrics patient is a high risk situation for both mother and the baby. Proper management from the pre conceptional period till delivery can bring about a very favorable outcome.