A Daponte1, F Guidozzi, D Moisuc, A Marineanu. 1. Department of Obstetrics and Gynaecology, Johannesburg Hospital, University of the Witwatersrand, South Africa.
Abstract
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.
OBJECTIVES: To audit our insulin regimen in our antenatal diabetics. METHODS: 170 pregnant diabeticpatients 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 diabeticpatients are achievable with an established insulin regimen in a developing country.
Authors: Melissa Bauserman; Robert Nathan; Adrien Lokangaka; Elizabeth M McClure; Janet Moore; Daniel Ishoso; Antoinette Tshefu; Lester Figueroa; Ana Garces; Margo S Harrison; Dennis Wallace; Sarah Saleem; Waseem Mirza; Nancy Krebs; Michael Hambidge; Waldemar Carlo; Elwyn Chomba; Menachem Miodovnik; Marion Koso-Thomas; Edward A Liechty; Fabian Esamai; Jonathan Swanson; David Swanson; Robert L Goldenberg; Carl Bose Journal: BMC Pregnancy Childbirth Date: 2019-07-22 Impact factor: 3.007