Outcome of pregnant diabetic patients in Benghazi (Libya) from 1984 to 1991.

Abstract:

:During the period from 1 June 1984 to 1 June 1991, 988 pregnant diabetic patients were treated by a team of physicians and obstetricians in Benghazi Diabetic Clinic. Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed for the first time during pregnancy. Thirty-nine patients defaulted. Eight hundred and seventy-six patients were treated with insulin and 112 patients were controlled by diet. The average daily insulin dose was 40.12 units. The majority, 64.5%, delivered vaginally and 35.5% by caesarean section. Rates of abortion, intra-uterine death and still birth were 7.99%, 3.28% and 2.6%, respectively. The mean birth weight was 3.78 +/- 0.89 kg. Congenital anomalies of infants were 3.4%. Perinatal morality was 11.44%. Poor metabolic control has been associated with increased rates of abortion, intra-uterine death and congenital anomalies. It was concluded that team approach and multiple insulin injections could improve the outcome of pregnancy in developing countries to near current western standards.

authors

Kadiki OA,Reddy MR,Sahli MA,Shawar H,Rao S

doi

10.1016/0168-8227(93)90095-m

subject

Has Abstract

pub_date

1993-07-01 00:00:00

pages

39-42

issue

1

eissn

0168-8227

issn

1872-8227

pii

0168-8227(93)90095-M

journal_volume

21

pub_type

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