Proper Management of Diabetic Mothers is the Key to Good Fetal Outcome

Abstract

The objective of the study was to determine the frequency of fetal anormalies, fetal mortality and morbidity among diabetic mothers. It was a descriptive prescriptive and observational study. The study was conducted at the Department of Obstetrics and Gynaecology, Shalimar Hospital Lahore from 15^th Jan 2000 to 14^th Jan 2011. During the study period of one year, fifty patients were studied who were admitted through the antenatal clinic and through emergency. Diabetic mothers of all age groups, booked or un-booked delivered either vaginally or through caesarian section were included in the study. All diabetic mothers with established systematic diabetes mellitus were not included in the study. Patients who were initially admitted to the antenatal ward underwent baseline tests, control of blood sugar and evaluation of fetal well being. In addition to baseline investigations, ophtalmoscopy and renal function tests were also done. Fetal wellbeing as monitored through out the study period. On delivery babies were observed for any complications. The study revealed a perinatal mortality of ten percent had hypoglycemia, forty percent had hyperbilirubunimia and two percent had respiratory distress syndrome. From this study we concluded that good neonatal care and support is important for better outcome of pregnancy in diabetic mothers.