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Original Papers

Maternal and neonatal outcomes of diabetes in pregnancy in urban women of Sri Lanka : a retrospective cohort study

Author:

T R N Fernando

Rajarata University of Sri Lanka, LK
About T R N
Department of Gynaecology and Obstetrics,  Faculty of Medicine and Allied Sciences
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Abstract

Introduction: Maternal diabetes has been recognised for adverse maternal and perinatal outcomes. Aims of this study were to the mode of delivery, maternal morbidity, neonatal morbidity and mortality in pregnant diabetes (DM) women with normal pregnant women.
Methods: This was a retrospective cohort study. Data has been gathered from medical records of diabetes (DM) delivered in ward 5, Castle Street Hospital (CSHW), during six months period from 15th May 2012. Patients with compare previously known DM and Gestational DM (GDM) delivered in this unit were included. Parity matched control sample was selected by convenient samling to compare the outcomes.

Results: A total of 270 mothers were enrolled. There were 135 women in each group. Polyhydramnios and pregnancy induced hypertension was found in significantly higher proportion of women in the DM group (p<0.05). Induction of labour rate was significantly higher in the DM group compared to the controls. Elective caesarean section rate was significantly higher in the DM group but there was no difference in the emergency caesarean rates in the two groups. Rates of prematurity, low birth weight, macrosomia, intrauterine growth restriction, still births and neonatal deaths were not significantly different in the two groups. Neonatal pyrexia and neonatal hypoglycaemia were significantly higher in the DM group compared to the controls (p<0.05). From the DM group there were more admissions (n=5) to neonatal unit with prematurity than the control group (n=1).

Conclusion: As expected induction of labour rates and elective caesarean rates were higher among mothers with gestational diabetes. However, there was no significant difference of macrosomia but increased neonatal hypoglycaemia and pyrexia among GDM was noted in this study.

DOI: http://dx.doi.org/10.4038/sljog.v36i2.7455

Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 37-40

DOI: http://doi.org/10.4038/sljog.v36i2.7455
How to Cite: Fernando, T.R.N., (2014). Maternal and neonatal outcomes of diabetes in pregnancy in urban women of Sri Lanka : a retrospective cohort study. Sri Lanka Journal of Obstetrics and Gynaecology. 36(2), pp.37–40. DOI: http://doi.org/10.4038/sljog.v36i2.7455
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Published on 24 Sep 2014.
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