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[Pregnancy in women with diabetic nephropathy]
M Sobczak1, J Wilczyński, K Cypryk
1Klinika Medycyny Matczyno-Płodowej I CZMP, Lodzi.
Among 244 pregnant with diabetes type 1 in 21 (8.61%) cases nephropathy was noticed, which was accompanied by such complications as: retinopathy--85.7%, H.A.--42.9%, PIH--28.6%, anaemia--42.9%. During the course of pregnancy statistically significant increase of biochemical parameters such as: proteinuria, serum urea and creatinine levels was noticed. Preterm delivery represented 66.6% (the average delivery time approximately 33 week of the pregnancy), IUGR appeared in 26.3% of cases, and neonatal mortality was equal 15.9%. The proteinuria amount was negatively correlated with neonatal birth weight similarly as the pregnant serum urea level was negatively correlated with Apgar score.
Among 244 pregnant with diabetes type 1 in 21 (8.61%) cases nephropathy was noticed, which was accompanied by such complications as: retinopathy--85.7%, H.A.--42.9%, PIH--28.6%, anaemia--42.9%. During the course of pregnancy statistically significant increase of biochemical parameters such as: proteinuria, serum urea and creatinine levels was noticed. Preterm delivery represented 66.6% (the average delivery time approximately 33 week of the pregnancy), IUGR appeared in 26.3% of cases, and neonatal mortality was equal 15.9%. The proteinuria amount was negatively correlated with neonatal birth weight similarly as the pregnant serum urea level was negatively correlated with Apgar score.