Diabetes during Labour: Types, Mode of Delivery and Fetal Outcome in Erbil Maternity Teaching Hospital


Shahla Karim Alaf

College of Medicine, Hawler Medical University  


Abstract
A field study on 54 pregnant women during labor with pre gestational and gestational diabetes in
Erbil Maternity Teaching Hospital ,Erbil city , Kurdistan region Iraq from 1st of January to the 1st of
March 2005 was carried out to determine the types of diabetes, mode of delivery and neonatal out come .
Total deliveries in this period were 2891, making the rate of diabetes during labor 1.9%. Mean maternal
age was33.65±5.35 years, mean maternal weight was 79.50±13.5 kg, 3.7% of patients were primigraivid
while 57.41 % were grandmultiparus.63% of diabetic patients in our study were Gestational diabetes
while 37% were pregestational diabetes (Type 1 and Type 2 Diabetes).There was no statistically
significant correlations between the types of diabetes and maternal age, weight, and parity.61.1% of the
patients delivered by Caesarean Section (Emergency and Elective) while 29.6% of cases delivered
spontaneously vaginally .The most common indication for Caesarean Section was Cephalo pelvic
Disproportion .The perinatal mortality in the study group was 6 (2 macerated stillbirth, 2 fresh stillbirth
and 2 early neonatal deaths), there were 5cases (9.2%) of congenital fetal malformations (4 congenital
heart disease and one case of club foot (all were newborns of pregestational diabetic mothers).

Keywords: Gestational diabetes, pregestational diabetes, spontaneous vaginal delivery,
cephalopelvic disproportion, perinatal, congenital fetal malformations, congenital heart
disease.

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