[Care of pregnant diabetic patients--results and problems]

This is a report on results and problems in taking care of pregnant diabetics in the delivering center Leipzig with special regard of women with a gestational diabetes. In the period between 1971 and 1983 a total of 314 patients were treated with manifest diabetes or a gestational diabetes. We investigated in with manifest diabetes or a gestational diabetes. We investigated in non-selected cases the morbidity of children and the perinatal mortality. The evaluation took into consideration among others the quality of metabolic guidance, the possible causes of perinatal mortality and the therapeutical indications in gestational diabetes. Depended on the changed concept of the care system we considered separately the results of two periods (first period: 1971 until 1978, 136 deliveries; second period: 1979 until 1983, 178 deliveries). We could demonstrate that a complex interdisciplinary care system can reduce the perinatal mortality and morbidity. But it is necessary to diagnose patients with a gestational diabetes earlier than actually usual.