Pregnancy outcomes of diabetic women; A single centre experience
Abstract
Introduction: Diabetes in pregnancy is associated with preterm delivery, birthweight extremes, and increased rates of congenital anomaly, stillbirth, and neonatal death. Aim of the study: This study aimed to determine the maternal and perinatal outcomes of diabetic pregnant women managed at Chittagong Medical College and Hospital, Chittagong Bangladesh. Methods: This retrospective case-control study was conducted at the department of Gynecology and Obstetrics Chittagong Medical College and Hospital, Chittagong Bangladesh. This study was conducted from the registry case details of women with Gestational Diabetes Mellitus (GDM) and Pre-gestational Diabetes Mellitus (PGDM) (Type-1 or Type-2) from January 2021 to December 2021. Result: A total of 133 patients were enrolled and analyzed in this study into three groups 1st Control group with 53 patients, 2nd Gestational Diabetes Mellitus (GDM) with 55 patients, and Pre-Gestational Diabetes Mellitus (PGDM) with 25 patients. There is an impact on SCBU admission; most of the babies in the control group were not admitted to SCBU, 36(65.45%) babies were not admitted, and 19(34.55%) babies were admitted to SCBU of the GDM group. Nevertheless, almost 50% of babies were admitted to SCBU of the PGDM group. Conclusion: Women with pregnancies complicated by diabetes had a higher incidence of adverse maternal and perinatal outcomes. Clinical recognition of diabetes in pregnancy is important because institution of therapy, and antepartum fetal surveillance can reduce the maternal and perinatal morbidity and mortality associated with the condition.
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