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Management of diabetic pregnant patients in a tertiary center in the developing world
A Daponte1, F Guidozzi, D Moisuc
1Department of Obstetrics and Gynaecology, Johannesburg Hospital, University of the Witwatersrand, South Africa.
Objectives:
To audit our insulin regimen in our antenatal diabetics.
Methods:
170 pregnant diabetic patients were retrospectively analyzed.
Results:
The perinatal mortality rate was 37/1000, vs. a perinatal mortality rate of 30/1000 in our setting. Cesarean section rate was 49%. Strict blood-glucose control reduced the incidence of macrosomia and polyhydramnios. Routine amniocentesis for fetal-lung maturity was not practiced.
Conclusion:
Satisfactory results in pregnant diabetic patients are achievable with an established insulin regimen in a developing country.