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Maternal outcome in class H diabetes mellitus
Obstetrics and Gynecology
|June 1, 1980
Summary
Class H diabetes mellitus, characterized by diabetes and ischemic heart disease in pregnancy, poses significant risks. Early electrocardiogram screening is crucial for pregnant diabetics, as successful management can lead to healthy outcomes.
Area of Science:
- Cardiology
- Endocrinology
- Maternal-Fetal Medicine
Background:
- Class H diabetes mellitus is defined as diabetes in pregnant women with co-existing ischemic heart disease.
- This condition presents severe risks, potentially making abortion a comparable option to continuing pregnancy.
- Cardiac complications can manifest even in early-onset diabetes, necessitating proactive cardiac assessment.
Observation:
- A literature review identified 11 cases of Class H diabetes in pregnancy, with a high maternal mortality rate of 8 out of 11.
- The authors present a case of successful management of Class H diabetes in pregnancy.
Findings:
- The authors successfully managed a Class H diabetic patient through her pregnancy.
- The patient delivered a healthy infant at 36 weeks' gestation, demonstrating a positive outcome is achievable.
Implications:
- A baseline electrocardiogram is recommended for all pregnant women with diabetes to screen for cardiac disease.
- Early detection and management of cardiac issues in pregnant diabetics can improve maternal and fetal outcomes.
- This case highlights the possibility of successful pregnancy continuation and delivery in Class H diabetes mellitus with appropriate medical intervention.