The patients with diabetes mellitus and pregnancy are divided into the pregestational diabetes and the gestational diabetes.
The diabetic pregnancy increased the risk of the eclampsia, preeclampsia, metabolic disorders, birth injury, infection, and maternal mortality and associated with increased perinatal death rate, major anomalies, preterm delivery, neonatal
morbidity
(severe respiratory distress and metabolic derangements), and inheritance of predisposition to diabetes.
Therefore we collected 31 consecutive patients with diabetes mellitus and pregnancy based on medical records and analyzed and reviewed retrospectively among 12362 admitted to Hanyang University Hospital Obstetrics & Gynecology department between
January
1986 and march 1994.
@ES Results were as follow:
@EN 1. The patients consist of 4(12.9%0 with insulin dependent diabetes mellitus(IDDM), 14 (45.2%) with noninsulin dependent diabetes mellitus(NIDDM), and 13 (41.9%). With gestational diabetes mellitus (GDM).
2. The mean maternal age was lower in pregestational diabetes(29.8+5.3) than gestational diabetes (31.1+4.3).
3. The mean maternal body mass index was higher in gestational diabetes(23.9+4.7kg/m*)than pregestational diabetes(21.3+3.8kg/m*).
4. 69.2% of women with gestational diabetes had more than one risk factor(age over 30, family history of diabetes, a prior macrosomia, malformed of stillborn infant, obesity, hypertension, or glucosuria).
5. The maternal complications were found 17 cases (55.5%) and the most common type of complication was pregnancy-induced hypertension (25.8%).
6. The maternal complications was found to be much higher in diabetic pregnancy with vasculopathy (80%) than without vasculopathy (30.7%).
7. 20 cases (64.5%) were found to have perinatal complications.
8. The frequency of cesarean section was higher in pregnancy with diabetes (41.9%) than without diabetes(34.0%).
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