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Title: Diabetic pregnancy outcome in Malta the outcome of non-gestational diabetic pregnancies in the Maltese Islands
Authors: Savona-Ventura, Charles
Chircop, Marcelle
Ellul, Alan
Azzopardi, Joseph
Janulova, Lina
Keywords: Diabetes -- Pregnancy -- Malta
Pregnancy -- Complications
Obstetrics -- Malta -- Case studies
Issue Date: 2004
Publisher: Malta Medical Journal
Citation: Malta Medical Journal. 2004, Vol.16(1), p. 27-30
Abstract: Diabetes in pregnancy is generally associated with a higher morbidity and mortality for both the mother and child. Objective: The study aims to assess the outcome indicators of diabetic pregnant women and compare these to the remaining obstetric population. Research Design and Methods: Women diagnosed as suffering from diabetes prior to their pregnancy were identified (n = 44) and their outcome indicators were compared to the parameters of the women with a presumed normal carbohydrate metabolism (n = 12260). Women diagnosed with gestational DM (defined as a 2-hour post-load blood glucose of >=8.6 mmol/l: n=236) were excluded from the analysis. Results: The incidence of pre-existing diabetic problems in the Maltese pregnant population is 0.35% of total maternities. Women with pre-existing DM showed themselves to be at a significantly increased risk of developing hypertensive disorders during pregnancy and to require delivery by caesarean section. The infants born to pre-existing DM women were more likely to be macrosomic or preterm and have a low Apgar score at birth. They were also more likely to be of low birth weight and suffer from respiratory distress. Conclusions: It would appear that previously existing diabetes complicating pregnancy remains a high risk situation that increases maternal and infant morbidity in spite of the modern management options.
Appears in Collections:MMJ, Volume 16, Issue 1
MMJ, Volume 16, Issue 1
Scholarly Works - FacM&SMed
Scholarly Works - FacM&SOG

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