Diabetic pregnancy. Evaluation and prospects from the study of 212 diabetic pregnancies followed-up between 1985 and 1992

A total of 212 diabetic pregnancies were studied prospectively over the period 1985 to 1986, included: 76 insulinodependent diabetics (IDD), 34 non insulinodependent diabetics (NIDD), and 102 gestational diabetes. The perinatal mortality rate for all diabetic pregnancies was 1.4% (n = 3); 3 congenit...

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Published inAnnales de médecine interne Vol. 145; no. 6; p. 391
Main Authors Sachon, C, Grimaldi, A, Bosquet, F, Croisier, G, Thervet, F, Vauthier, D, Sebacher, J, Darbois, Y, Janse-Marec, J, Pathier, D
Format Journal Article
LanguageFrench
Published France 1994
Subjects
Adult
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 2 - physiopathology
Diabetes, Gestational - physiopathology
Female
Follow-Up Studies
Humans
Infant, Newborn
Infant, Newborn, Diseases - prevention & control
Perinatal Care
Pregnancy
Pregnancy in Diabetics - physiopathology
Pregnancy Outcome
Prospective Studies
Risk Factors
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Summary:A total of 212 diabetic pregnancies were studied prospectively over the period 1985 to 1986, included: 76 insulinodependent diabetics (IDD), 34 non insulinodependent diabetics (NIDD), and 102 gestational diabetes. The perinatal mortality rate for all diabetic pregnancies was 1.4% (n = 3); 3 congenital malformations were recorded (a therapeutic abortion was performed in 2 cases). These results are comparable with those of the non diabetic population. However, it is to be noticed that maternal as well as neonatal morbidity was important (hypoglycaemic comas: 18 in 9 IDD, preeclampsia: 7 IDD, 2 NIDD, 1 DG; caesarean delivery: 50% IDD, 50% NIDD, 25% DG; neonatal morbidity 20% of the new born. The main objectives must be targeted on the prevention of severe hypoglycaemia in IDD, the early diagnosis of DG and the development of pregnancy care in NIDD.
ISSN:0003-410X