Diabetes during Labour: Types, Mode of Delivery and Fetal Outcome in Erbil Maternity Teaching Hospital
Keywords:Gestational diabetes, Pregestational diabetes, Spontaneous vaginal delivery, Cephalopelvic disproportion, Perinatal, Congenital fetal malformations, Congenital heart disease
AbstractA 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).
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