TITLE:
Evaluation of Pregnancy Outcomes among Women with Pregnancies Complicated by Diabetes Mellitus in Abakaliki, South-East, Nigeria
AUTHORS:
Nwafor Johnbosco Ifunanya, Onwe Blessing Idzuinya, Obi Vitus Okwuchukwu, Ugoji Darlington-Peter Chibuzor, Ibo Chukwunenye Chukwu, Obi Chuka Nobert, Onuchukwu Victor Jude Uchenna
KEYWORDS:
Pregnancies, Complicated, Diabetes Mellitus, Maternal, Perinatal, Abakaliki
JOURNAL NAME:
Journal of Diabetes Mellitus,
Vol.9 No.3,
August
12,
2019
ABSTRACT: Background: Pregnancies complicated by diabetes are associated with significant increase in maternal and perinatal morbidity and mortality. The management of diabetes in pregnancy is a great challenge in a low resource setting because of limited resources and facilities to care for these women. Aim: To determine the maternal and perinatal outcomes of diabetic pregnant women managed at Alex Ekwueme Federal University Teaching Hospital Abakaliki, Southeast, Nigeria. Materials and methods: This was a 7-year retrospective case-control study that compared pregnancy outcomes among women with pregnancies complicated by diabetes and those without diabetes managed at Alex Ekwueme Federal University Teaching Hospital, Abakalikibetween January 1st, 2012 and December 31st, 2018. The statistical analysis was done using SPSS version 22. Results: The incidence of diabetes in pregnancy in this study was 6.6 per 1000 deliveries. Of 126 women in diabetic arm of the study, 81 were diagnosed during pregnancy and 45 were known diabetic prior to conception. Over two-thirds of 126 women with pregnancy complicated by diabetes achieved good blood glucose control during pregnancy. Both groups differ in their mean BMI and women with diabetes in pregnancy were more likely to be obese compared with control (diabetic; 30.1 ± 2.5 versus control; 23.4 ± 2.1, P