Diabetes mellitus in pregnancy in an African population

International Journal of Gynecology & Obstetrics - Tập 84 - Trang 114-119 - 2004
B.C. Ozumba1, S.N. Obi2, J.M. Oli3
1Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria
2Department of Obstetrics and Gynecology, Federal Medical Center, Abakaliki, Nigeria
3Department of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria

Tóm tắt

AbstractObjectives: To compare the pregnancy outcome among diabetic and non‐diabetic Nigerian women. Methods: A retrospective case record review of 200 pregnant diabetic patients and control was carried out over a 10‐year period (1990–1999) at the Maternity unit of the University of Nigeria Teaching Hospital Enugu, Nigeria. Results: The prevalence of diabetes mellitus among pregnant mothers was 1.7%. Pre‐gestational diabetes mellitus accounted for 39% of cases while gestational diabetes was responsible for 61% of them. Late antenatal booking and poor control of diabetes mellitus were common features, while maternal and fetal morbidity was high. Hypertension, vulvovaginitis, premature labor, polyhydramnios and ketoacidosis were significantly higher among diabetic mothers than controls. The perinatal mortality was also higher among diabetics than controls (12.5% vs. 3.5%) with stillbirth being the major contributor. Patients with gestational diabetes were at increased risk of fetal macrosomia than controls (28.7% vs. 5.5%). The overall cesarean section rate was high (36%) among diabetics with previous cesarean section and cephalopelvic disproportion being the commonest indications. Conclusions: Health education and provision of modern affordable methods of management of diagnosed cases such as uristix and hemastix will improve maternal and fetal outcome in pregnant diabetics in Africa.

Tài liệu tham khảo

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Thông tin xuất bản

International Journal of Gynecology & Obstetrics

Tập 84

114-119

Thông tin tác giả