Diabetes in Pregnancy

• Introduction
• Abortion
• Amenorrhoea
• Birth Control
• Bladder Symptoms
• Cancer in Women
• Childbirth
• Children and Teenagers
• Diet / Weight Loss
• Dysmenorrhoea
• Endometriosis
• Fibroids
• HRT
• Hirsutism
• Hysterectomy
• Infections
• Infertility
• Medication Drugs
• Menopause
• Menorrhagia
• Miscarriage
• Painful Sex
• Pap Smear Test
• PCOS
• Pelvic Pain
• PMS
• Postpartum
• Pregnancy
• Preconception
• Pregnancy Diagnosis
• Pregnancy Calculator
• Pregnancy Calendar
• Antental Care
• Antenatal Classes
• Gestational Age
• Maternal Medical Conditions
• Depression
• Diabetes
• Genital Herpes
• Headaches
• Obesity
• Smoking
• Pregnancy Complications
• Planned Delivery
• Self Esteem
• Sexual Problems
• Vaginal Discharge
• Vaginal Prolapse
• Vulval Symptoms

DIABETES IN PREGNANCY

DIABETES IN PREGNANCY - COMPLICATIONS - CONGENITAL ABNORMALITY

BMJ. 1997 Aug 2;315(7103):279-81.

Prospective population based survey of outcome of pregnancy in diabetic women: results of the Northern Diabetic Pregnancy Audit, 1994.

Hawthorne G, Robson S, Ryall EA, Sen D, Roberts SH, Ward Platt MP.

Objectives:

To determine whether the St Vincent declaration (1989) target of diabetic pregnancy outcome approximating non-diabetic pregnancy outcome in near to being achieved.

Design:

Prospective collection of population based information on pregnancies in women with diabetes from all participating hospitals.

Setting:

District general and teaching hospitals of the former Northern region. SUBJECTS: 111 diabetic women booking with pregnancy during 1 January to 31 December 1994.

Main Outcome Measures:

Diabetic control, perinatal mortality rate, fetal abnormality rate.

Results:

The perinatal mortality rate was 48/1000 for diabetic pregnancies compared with 8.9/1000 for the background population (odds ratio 5.38; 95% confidence interval 2.27 to 12.70) and the neonatal mortality rate was 59/1000 compared with 3.9/1000 (15.0; 6.77 to 33.10). Two late neonatal deaths were due to congenital heart defects. Six per cent of all fetal losses (6/109 cases) were due to major malformations. The congenital malformation rate was 83/1000 compared with 21.3/1000 (3.76; 2.00 to 7.06) in the background population.

Conclusions:

Diabetic pregnancy remains a high risk state with perinatal mortality and fetal malformation rates much higher than in the background population.

 

Thank you for choosing to visit us.

This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided. If you still have unanswered questions, please consider entering them into one of our forums and I will try to assist you.