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Gestational and pre‐gestational diabetes: comparison of maternal and fetal characteristics and outcome
Author(s) -
El Mallah K.O.,
Narchi H.,
Kulaylat N.A.,
Shaban M.S.
Publication year - 1997
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(97)00084-2
Subject(s) - medicine , gestational diabetes , obstetrics , offspring , incidence (geometry) , fetal macrosomia , diabetes mellitus , pregnancy , population , fetus , gestation , gynecology , endocrinology , genetics , physics , optics , biology , environmental health
Objective: To determine the incidence of antenatal and intrapartum maternal and fetal complications of gestational diabetes mellitus (GDM) and compare them with pre‐gestational diabetes mellitus (pre‐GDM) and non‐diabetic pregnancies in our population. Study design: Nine‐hundred and seventy‐two women with gestational diabetes mellitus and 71 women with pre‐gestational diabetes mellitus, and their offspring (delivered in our hospital between January 1991 and April 1994) were studied. Maternal and fetal prenatal and intrapartum complications were analyzed. Results: The incidence of GDM was 9.8%. The maternal complications included higher incidences of cesarean section and perineal lacerations in GDM and pre‐GDM patients than in the non‐diabetic pregnancies, and higher rates of macrosomia and hypoglycemic episodes in their offspring. Conclusion: The incidence of maternal, fetal and neonatal complications in GDM is similar to pre‐GDM patients and their offspring. Both GDM and pre‐GDM pregnancies and the offspring should, therefore, be monitored and managed identically.