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Diabetes, Pregnancy Birth Study

DIABETES, PREGNANCY BIRTH STUDY (1994)
INSULIN THERAPY IN
Total No.: 186

  Group I Group II Group III Group IV
Insulin 8 2 0 0
No Insulin 4 16 105 51
Total 12 18 105 51

66% of group I, 12% of group II needed insulin, while none required insulin in groups III & IV. (Viz. True Gestational Diabetes)

Note: Our group I contained type 1 (or IDDM) diabetics and hence the percentage (%) of insulin treatment was higher. As much as 60% of type 2 diabetics who were not on drug therapy prior to pregnancy could be treated without insulin during their pregnancy with equally successful outcome.

Incidence of big babies in diabetic pregnancies vs non-diabetic pregnancies.

Diabetes, Pregnancy, Birth Study (1994) Incidence of Macrosomia

Macrosomia
(> 4000 gms)
Diabetics
(186)
Normals
(546)
 
4 (2.15%)
8 (1.46%)
IDDM (Gr I)
1
 
Overt DM ofPregnancy (Gr.II)
1
 
Group IV ĢIII
2
 

* Difference not statistically significant.

About 13.5% of Diabetic Pregnancies has High Blood Pressure/Pre Eclampsia and 6% had Hydramnios (excessive liquor in the womb) as complications of pregnancy. These are 3-4 times higher than in Non-diabetic pregnancies.

Mode of Delivery

DIABETES, PREGNANCY, BIRTH STUDY (1994) MODE OF DELIVERY

MODE OF DELIVERY

Total diabetic Pregnancies : 186
Vaginal Deliveries : 56 (30.1%)
LSCS : 130 (69.9%)

Group
Vaginal Deliveries (%)
LSCS(%)
I
2
(1.07)
10
(5.37)
II
3
(1.61)
15
(8.06)
III
36
(9.35)
69
(37.09)
IV
15
(8.06)
36
(19.35)
Total
56
(30.1)
130
(69.9)

Note :- The mode of deliveries n these cases were dictated not by the diabetic status but by obstetric & foetal risk factors (link to academic section for more details)

Congenital Defects

DIABETES, PREGNANCY BIRTH STUDY (1994)
CONGENITAL ANOMALIES

No. Diabetic Pregnancies (186) Normal (546)
1 Omphalocele (Gr II) 1. LT TEV
2 Calcaneal Def Lt (Gr III) 2. Small Bowel Obstruction
3. RDS
4. Short Limbs
5. Hypospadias
6. Skeletal Dysplasia with short limbs
7. Small Preauricular skin tag
8. Undescended testis (Lt)
9. Cystic Hygroma (Renal Glycosuria)
  1.07% 1.65%

Risk Factors for GDM in Pregnant Women (Indications for doing Glucose Tolerance Test GTT)
Dietary Plan and Nutrition Recommendations in Pregnant Women with Diabetes
Physical Exercise in Type I (or) IDDM Pregnancy
Physical Exercise in Type II (or) NIDDM & GDM Pregnancies
Future of GDM Mothers



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