engleski

Perinatal outcomes in women with Type-2 versus Type- 1 diabetes mellitus

Objective was to compare perinatal outcome in pregnant women with type-2 DM vs. type-1 DM. Patients and methods: In the period (2000.-2012.) 557 pregnant women with type-1 DM and 149 with type-2 DM were delivered. Following data were analyzed: age, body mass index (BMI), weight gain, HbA1c level in each trimester of pregnancy, complications of labor and delivery, new born weight and ponderal index, perinatal mortality and morbidity. All women with type-2DM received insulin. Results: 557 type-1 DM women delivered 563 newborn children (4 pregnancies with twins and 1 pregnancy with triplets). 149 type-2 DM women delivered 154 newborn children (5 pregnancies with twins). No shoulder dystocia occurred. Conclusion: Despite a milder glycemia disturbances and better HbA1c level in first trimester women with type-2 DM had higher perinatal mortaliy than type -1DM group, but fetal macrosomia and CS rate was siginificantly lower in type-2 DM group what can be the result of introduced insulin treatment during pregnancy.

perinatal outcomes; type-1 diabetes mellitus; type-2 diabetes mellitus

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