Pregnancy with diabetes: The study of fetomaternal outcome in a tertiary care teaching centre in western India

Abstract

To study the fetomaternal outcome in cases of pregnancy with diabetes and the measures to combat the consequences.A prospective observational study was conducted in a tertiary care centre with 70 patients taken under study, being carried out in a period of July-2020 to June- 2021 at Civil Hospital, Ahmedabad.Increasing gravidity, age and past history of GDM was found to be one of the risk factor for such cases. 44% patients had polyhydramnios, 8% had uteroplacental insufficiency and there were 6%intrauterine deaths. 52 patients were managed by Insulin, 10 patients by oral antidiabetic agents and remaining 8 patients were manged alone with dietary therapy. 48% patients underwent emergency caesarean section, 28% delivered normally and 8% patients required instrumental vaginal delivery. 10 cases of pregnancy with diabetes developed hypertension, also there were 6% cases of macrosomia. Birth weight > 3.5 kg was 32% in incidence. Most of the neonates were taken to NICU for 24 hours of observation. Perinatal mortality was observed in 6 cases of pregnancy with diabetes mellitus.