TY - JOUR AU - Wasim, Tayyiba AU - Amer, Wasim AU - Majrooh, Ashraf PY - 2015/08/04 Y2 - 2024/03/29 TI - FETO MATERNAL OUTCOME IN PREGNANT PATIENTS WITH DIABETES JF - Annals of King Edward Medical University JA - Annals KEMU VL - 21 IS - 2 SE - Medicine & Allied DO - 10.21649/akemu.v21i2.707 UR - https://annalskemu.org/journal/index.php/annals/article/view/707 SP - 108 AB - <p><strong>Abstract</strong></p> <p><strong>Objective:&nbsp;&nbsp;</strong>To compare the fetomaternal outcomes in terms of congenital anomalies, miscarriage, macro-somia, polyhydraminos, preterm labor, IUGR, still birth, early neonatal death and operative delivery bet-ween known diabetic and gestational diabetic patients (GDM). The effect of glycemic control on these com-plications was also studied.</p> <p><strong>Methods:&nbsp;&nbsp;</strong>It was a two year comparative analytic study done at Gynae unit III, SIMS, Services Hospital Lahore from Jan 2013 to Dec 2014. Patients were divi-ded into two groups, patients with pre-existing type1 or 2 diabetes and those having GDM.</p> <p><strong>Results:&nbsp;&nbsp;</strong>A total of 124 patients were found to be dia-betic over 2 year study period, out of which 61.3% had gestational diabetes. Family history of diabetes was present in 58% of GDM patients and 42% of known diabetic patients (P &gt; 0.05). 52.6% of GDM patients</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>Wasim T.<sup>1</sup></p> <p>Professor of Obstetrics &amp; Gynaecology</p> <p>SIMS / Services Hospital, Lahore</p> <p>&nbsp;</p> <p>Amer W.<sup>2</sup></p> <p>Professor of Medicine</p> <p>LMDC, Ghurki Trust Hospital, Lahore</p> <p>&nbsp;</p> <p>Majrooh A.<sup>3</sup></p> <p>Professor of Community Medicine</p> <p>SIMS / Services Hospital, Lahore</p> <p>had no complication and delivered uneventfully (p &lt; 0.05). Macrosomia was most frequent complication (26.3%) of GDM group and 29% of known diabetic patients. No congenital anomaly and miscarriage occu-rred in GDM group (P &lt; 0.05). Operative delivery was high 44% in known diabetic patients as compared to 33% of GDM patients but not statistically significant. Perinatal outcome was comparable in both groups. Optimum glycemic control (HbA<sub>1</sub>c &le; 6%) was signi-ficantly associated with fewer complications p = 0.001.</p> <p><strong>Conclusion:&nbsp;&nbsp;</strong>GDM is an increasing health problem and has been associated with fetomaternal complicat-ions. Screening is recommended for general pregnant population. Early diagnosis, patient education, proper follow up in close liaison with physician results in bet-ter glycemic control and improved maternal and &nbsp;peri-natal outcome in diabetic pregnant patients.</p> ER -