IMPLEMENTATION OF THE DIABCARE PROGRAM IN REGISTRATION OF PREGNANT DIABETIC WOMEN

Since 1986, after the implementation of an intensive metabolic care program in 12 centres in Poland, the index of perinatal mortality of newborns born to diabetic mothers has fallen from 12% to 1.9% in 1992. However, despite noticeable improvement in therapy of diabetes in this group the number of congenital malformations has remained unchanged. The aim of this study was the evaluation of simple registration computer program DIABCARE as a tool for collecting basic data in the group of diabetic pregnant women in Warsaw Centre of the ''Bank''; 212 patients aged between 18 and 41 yr, with diabetes duration from the onset to 25 yr were examined. Using data collected in DIABCARE database the impact of metabolic control of diabetes in the first trimester of pregnancy (HbA1c, fructosamine) on state of newborn was analyzed (body weight, Apgar score, malformations). The obstetric data were added to an analyzed set using an additional program. In the near future the implementation of such a registration system is planned in the remaining 14 obstetric-diabetological centres in Poland.