Diabetic Pregnancy Outcome in MaltaThe outcome of non-gestational diabetic pregnancies in the Maltese Islands

Malta medical journal

Marcelle Chircop¹  Charles Savona-Ventura¹  Lina Janulova¹  Alan Ellul¹  Joseph Azzopardi¹ 

关键词: diabetes mellitus;    pregnancy;    outcome;    complications;   

DOI  :  

学科分类：医学（综合）

来源: University of Malta * Medical School

【 摘 要 】

Diabetes in pregnancy is generally associated with a higher morbidity and mortality for both the mother and child. Objective: The study aims to assess the outcome indicators of diabetic pregnant women and compare these to the remaining obstetric population. Research Design and Methods: Women diagnosed as suffering from diabetes prior to their pregnancy were identified (n = 44) and their outcome indicators were compared to the parameters of the women with a presumed normal carbohydrate metabolism (n = 12260). Women diagnosed with gestational DM (defined as a 2-hour post-load blood glucose of >=8.6 mmol/l: n=236) were excluded from the analysis. Results: The incidence of pre-existing diabetic problems in the Maltese pregnant population is 0.35% of total maternities. Women with pre-existing DM showed themselves to be at a significantly increased risk of developing hypertensive disorders during pregnancy and to require delivery by caesarean section. The infants born to pre-existing DM women were more likely to be macrosomic or preterm and have a low Apgar score at birth. They were also more likely to be of low birth weight and suffer from respiratory distress. Conclusions: It would appear that previously existing diabetes complicating pregnancy remains a high risk situation that increases maternal and infant morbidity in spite of the modern management options.

【 授权许可】

Unknown