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Caudal regression associated with pre-gestational type 2 diabetes mellitus

Authors:

S. Raguraman ,

Sri Jayewardenepure General Hospital, Colombo, LK
About S.
Senior Registrar in Obstetrics & Gynaecology
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M. Karunarathne,

Sri Jayewardenepure General Hospital, Colombo, LK
About M.
Consultant Obstetrician & Gynaecologist
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N. Jayantha,

Sri Jayewardenepure General Hospital, Colombo, LK
About N.
Registrar in Obstetrics & Gynaecology
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S. Bandara

Sri Jayewardenepure General Hospital, Colombo, LK
About S.
Registrar in Obstetrics & Gynaecology
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Abstract

Caudal regression syndrome is a spectrum of congenital structural defects associated with uncontrolled pre-gestational diabetes mellitus. Prevalence of this disease is 1 to 2.5 in 100,000 live births and background pre-gestational diabetes increases the risk by 200 fold.

 

We present a case of caudal regression syndrome in a mother having type 2 diabetes mellitus with poor glycaemic control since preconceptional period and early gestation. The condition was diagnosed during anomaly scan at 20 weeks of gestation.

 

Uncontrolled pre-existing diabetes is the most common aetiology for caudal regression syndrome. Therefore, proper preconceptional counseling is essential to optimize blood sugar levels in pre-gestational diabetic women. Carrying out anomaly scans around 20 weeks play a pivotal role in high risk cases in diagnosing foetal anomalies.
How to Cite: Raguraman, S., Karunarathne, M., Jayantha, N. and Bandara, S., 2018. Caudal regression associated with pre-gestational type 2 diabetes mellitus. Sri Lanka Journal of Obstetrics and Gynaecology, 40(3), pp.67–69. DOI: http://doi.org/10.4038/sljog.v40i3.7858
Published on 01 Nov 2018.
Peer Reviewed

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