Management of diabetic pregnant patients in a tertiary center in the developing world

被引:13
作者
Daponte, A [1 ]
Guidozzi, F [1 ]
Moisuc, D [1 ]
Marineanu, A [1 ]
机构
[1] Univ Witwatersrand, Johannesburg Hosp, Dept Obstet & Gynaecol, Johannesburg, South Africa
关键词
diabetes; pregnancy; developing world; antenatal diabetic clinic; insulin; audit;
D O I
10.1016/S0020-7292(98)00216-1
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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. (C) 1999 The International Federation of Gynecology and Obstetrics.
引用
收藏
页码:141 / 146
页数:6
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