|
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
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