Diabetes mellitus is a common medical condition complicating pregnancy with poor outcome. Early diagnosis and proper blood glucose control may reduce complications. The incidence and outcomes of the disease in Irrua is not known. The aim of this study is to determine the incidence and outcomes of diabetes mellitus complicating pregnancy in Irrua. We carried out a six year retrospective review of the demographic characteristics of the patients, parity, clinical and booking status, number of hospital admissions for blood sugar control and pregnancy outcome of diabetes mellitus complicating pregnancy in Irrua Specialist Teaching Hospital, Irrua between January 1, 2000 and December 31, 2005. Data collected were analysed using SPSS window version 20.0 statistical package. In the study period, there were 5,460 pregnant women who booked for antenatal care in the hospital, out of these, 2,765 attended the antenatal carefully and eventually delivered in the hospital and 30 of them whose pregnancies were complicated with diabetes mellitus were studied. The incidence of diabetes mellitus complicating pregnancy in this study is 10.85 pregnancies per 1000 births. The mean age of the patients was 33 years. Multipara were affected in 62% of cases. Gestational diabetes predominated in 66.7% of cases. There were family history of diabetes in 73.3% of cases. All patients had both dietary and insulin therapy throughout antenatal period. Majority of the patients were admitted for blood glucose control once. Majority of the patients (76.6%) had vaginal deliveries while 23.3% had caesarian deliveries due to fetal and maternal complications. Over 73% of the patients delivered at term. The outcome of pregnancy was poor. The incidence of diabetes mellitus complicating pregnancy in Irrua is 10.85 pregnancies per 1000 births, this is high with relatively poor outcome. Preconceptional counseling, deliberate blood glucose tolerance testing and adequate blood glucose control in pregnancy is recommended.
| Published in | Journal of Gynecology and Obstetrics (Volume 11, Issue 2) |
| DOI | 10.11648/j.jgo.20231102.11 |
| Page(s) | 31-35 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Pregnancy, Diabetes Mellitus, Gestational Diabetes, Management, Outcome, Irrua, Nigeria
| [1] | Hadden D. R. Medical management of diabetes in pregnancy. Balliere’s Clin Obstet Gynaaecol. 1991; 5: 369-394. |
| [2] | Adams K. M. et al. Sequale of unrecognized gestational diabetes A. M. J Obstet Gynaecol. 1998; 178-1321. |
| [3] | Gilmer M. D. G. Hurley P. A. Diabetes and endocrine disorders in pregnancy. In: whitfield C. R, (Ed) Dewhurst’s textbook of Obstetrics and Gynaecology for Postgraduate student, 6th edition, Blackwell Science Ltd, London pp. 1999; 197-209. |
| [4] | Ritchie J. W. L. Diabetes and other endocrine diseases complicating pregnancy, In: Whitfield C. R (Ed.) DewHurst’s textbook of Obstetrics and Gynaecology for Postgraduate student. 5th edition, Blackwell Science Ltd, Austria pp. 1995; 263-275. |
| [5] | American College of Obstetrician and Gynaecologists. Diabetes and Pregnancy. ACOG Tech. Bull. Int. J. Gynaecol Obstet. 1995; 48: 331-339. |
| [6] | Marresh M. Diabetes in Pregnancy. In: Studd J., (Ed.) Progress in Obstetrics and Gynaecology, Vol. 13 Churchill Living Stone, London. 1998; 191-207. |
| [7] | Diejamoah F. M. E., Asuquo E. J., Omene J.., Abu Bakare. An active approach to the management of diabetes mellitus and pregnancy. Trop. J. Obstet Gynaecol. 1979; 2 (1): 27-36. |
| [8] | Wokoma F. S., Celestine T. J. and. Enyindah C. E. Tropical J. of Obstetrics and Gynaecology. 2001; 18 (2): pp. 56-60. |
| [9] | Kinear T. W. G. and Ojo O. A. Pregnancy and Diabetes in Nigeria. West Africa Med. J. 1966; 16: 146. |
| [10] | Owusu S. K. Diabetes in Ghana: a 10-Year Study. Med. Journ. 1976; 15: No. 2. |
| [11] | O’Sullivan J. B. Body Weight and Subsequent diabetes mellitus. JAMA. 1982; 248: 949, |
| [12] | Williams Obstetrics. Diabetes in Pregnancy, 21st edition. 2001; pp. 1359-81. |
| [13] | Fuhrman K., Reiber H., Semmlerk, Fischer E., Fischer M. and Glockner E. Prevention of congenital malformation in infants of IDD Mothers. Diabetic Care. 1983; 6: 219-23. |
| [14] | Gabbe S. G. Gestational diabetes N. Engl. J. Med. 1986; 315: 1025-6. |
| [15] | Drury M. U., Stronge J. M., Loley M. E. and McDonald D. W. Pregnancy in the diabetic patient. Timing and Mode of Delivery. Obstet Gynaecol NY. 1985; 62: 279-82. |
| [16] | Robert M. F., Nietf R. K., Hubbell J. P. and Taesh H. W. and Avery M. E. Association between maternal diabetes and respiratory distress syndrome in the newborn, N. Eng. J. Med. 1976; 294: 357-60. |
| [17] | Tsang R. C., Ballard J. and Braun C. The infant of the mothers today and tomorrow. Clin. Obstet. Gynaecol. 1981; 29: 125-47. |
| [18] | Cason I. F., Clark C. A., Howard C. V. et al. Outcomes of pregnancy in insulin dependent diabetic women. Results of a five-year Cohort study. BMJ. 1997; 815: 275-280. |
APA Style
Dorcas Salime Onuminya, Rueben Agbons Eifediyi. (2023). A Six Year Review of the Outcome of Pregnancy in Diabetic Patients in Irrua Specialist Teaching Hospital, Irrua, Nigeria. Journal of Gynecology and Obstetrics, 11(2), 31-35. https://doi.org/10.11648/j.jgo.20231102.11
ACS Style
Dorcas Salime Onuminya; Rueben Agbons Eifediyi. A Six Year Review of the Outcome of Pregnancy in Diabetic Patients in Irrua Specialist Teaching Hospital, Irrua, Nigeria. J. Gynecol. Obstet. 2023, 11(2), 31-35. doi: 10.11648/j.jgo.20231102.11
AMA Style
Dorcas Salime Onuminya, Rueben Agbons Eifediyi. A Six Year Review of the Outcome of Pregnancy in Diabetic Patients in Irrua Specialist Teaching Hospital, Irrua, Nigeria. J Gynecol Obstet. 2023;11(2):31-35. doi: 10.11648/j.jgo.20231102.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.jgo.20231102.11,
author = {Dorcas Salime Onuminya and Rueben Agbons Eifediyi},
title = {A Six Year Review of the Outcome of Pregnancy in Diabetic Patients in Irrua Specialist Teaching Hospital, Irrua, Nigeria},
journal = {Journal of Gynecology and Obstetrics},
volume = {11},
number = {2},
pages = {31-35},
doi = {10.11648/j.jgo.20231102.11},
url = {https://doi.org/10.11648/j.jgo.20231102.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231102.11},
abstract = {Diabetes mellitus is a common medical condition complicating pregnancy with poor outcome. Early diagnosis and proper blood glucose control may reduce complications. The incidence and outcomes of the disease in Irrua is not known. The aim of this study is to determine the incidence and outcomes of diabetes mellitus complicating pregnancy in Irrua. We carried out a six year retrospective review of the demographic characteristics of the patients, parity, clinical and booking status, number of hospital admissions for blood sugar control and pregnancy outcome of diabetes mellitus complicating pregnancy in Irrua Specialist Teaching Hospital, Irrua between January 1, 2000 and December 31, 2005. Data collected were analysed using SPSS window version 20.0 statistical package. In the study period, there were 5,460 pregnant women who booked for antenatal care in the hospital, out of these, 2,765 attended the antenatal carefully and eventually delivered in the hospital and 30 of them whose pregnancies were complicated with diabetes mellitus were studied. The incidence of diabetes mellitus complicating pregnancy in this study is 10.85 pregnancies per 1000 births. The mean age of the patients was 33 years. Multipara were affected in 62% of cases. Gestational diabetes predominated in 66.7% of cases. There were family history of diabetes in 73.3% of cases. All patients had both dietary and insulin therapy throughout antenatal period. Majority of the patients were admitted for blood glucose control once. Majority of the patients (76.6%) had vaginal deliveries while 23.3% had caesarian deliveries due to fetal and maternal complications. Over 73% of the patients delivered at term. The outcome of pregnancy was poor. The incidence of diabetes mellitus complicating pregnancy in Irrua is 10.85 pregnancies per 1000 births, this is high with relatively poor outcome. Preconceptional counseling, deliberate blood glucose tolerance testing and adequate blood glucose control in pregnancy is recommended.},
year = {2023}
}
TY - JOUR T1 - A Six Year Review of the Outcome of Pregnancy in Diabetic Patients in Irrua Specialist Teaching Hospital, Irrua, Nigeria AU - Dorcas Salime Onuminya AU - Rueben Agbons Eifediyi Y1 - 2023/03/20 PY - 2023 N1 - https://doi.org/10.11648/j.jgo.20231102.11 DO - 10.11648/j.jgo.20231102.11 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 31 EP - 35 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20231102.11 AB - Diabetes mellitus is a common medical condition complicating pregnancy with poor outcome. Early diagnosis and proper blood glucose control may reduce complications. The incidence and outcomes of the disease in Irrua is not known. The aim of this study is to determine the incidence and outcomes of diabetes mellitus complicating pregnancy in Irrua. We carried out a six year retrospective review of the demographic characteristics of the patients, parity, clinical and booking status, number of hospital admissions for blood sugar control and pregnancy outcome of diabetes mellitus complicating pregnancy in Irrua Specialist Teaching Hospital, Irrua between January 1, 2000 and December 31, 2005. Data collected were analysed using SPSS window version 20.0 statistical package. In the study period, there were 5,460 pregnant women who booked for antenatal care in the hospital, out of these, 2,765 attended the antenatal carefully and eventually delivered in the hospital and 30 of them whose pregnancies were complicated with diabetes mellitus were studied. The incidence of diabetes mellitus complicating pregnancy in this study is 10.85 pregnancies per 1000 births. The mean age of the patients was 33 years. Multipara were affected in 62% of cases. Gestational diabetes predominated in 66.7% of cases. There were family history of diabetes in 73.3% of cases. All patients had both dietary and insulin therapy throughout antenatal period. Majority of the patients were admitted for blood glucose control once. Majority of the patients (76.6%) had vaginal deliveries while 23.3% had caesarian deliveries due to fetal and maternal complications. Over 73% of the patients delivered at term. The outcome of pregnancy was poor. The incidence of diabetes mellitus complicating pregnancy in Irrua is 10.85 pregnancies per 1000 births, this is high with relatively poor outcome. Preconceptional counseling, deliberate blood glucose tolerance testing and adequate blood glucose control in pregnancy is recommended. VL - 11 IS - 2 ER -
Information
Email: