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Diabetes and perinatal loss. A continuing problem.

A A Sobande1, H Al-Bar, E I Archibong

  • 1Department of Obstetrics & Gynecology, King Khalid University, College of Medicine, PO box 641, Abha, Kindgom of Saudi Arabia.

Saudi Medical Journal
|September 5, 2001
PubMed
Summary

Diabetic pregnancies in Saudi Arabia showed a higher rate of perinatal loss and significantly more cesarean sections compared to non-diabetic pregnancies. Health education is recommended to prevent diabetes in pregnancy and reduce healthcare costs.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Endocrinology

Background:

  • Diabetes in pregnancy poses risks to fetal outcomes.
  • Effective management is crucial for improving maternal and infant health.
  • Regional variations in outcomes necessitate localized studies.

Purpose of the Study:

  • To evaluate fetal outcomes in pregnant patients with diabetes managed by obstetricians.
  • To compare outcomes between diabetic and non-diabetic pregnancies.
  • To assess the impact of diabetes on perinatal mortality and delivery methods in Saudi Arabia.

Main Methods:

  • A case-control study was conducted over a two-year period.
  • Included 83 pregnant patients: 83 diabetic and 83 non-diabetic controls.

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  • Data collected on perinatal mortality, birth weight, and delivery methods.

    • Main Results:

    • Perinatal mortality was 6.02% in diabetic pregnancies versus 1.2% in controls (not statistically significant).
    • Mean birth weight differed significantly between groups (p=0.001).
    • Cesarean section rates were five times higher in diabetic pregnancies (OR=5.22, p<0.05).

    Conclusions:

    • Diabetes in pregnancy remains a significant contributor to perinatal loss in the studied community.
    • Increased cesarean section rates in diabetic pregnancies strain financial resources.
    • Emphasis on health education for diabetes prevention in pregnancy is recommended to mitigate costs and improve outcomes.