Assessment of Pregnancy Outcome in Diabetic Obstetric Population in Kuwait Tertiary Hospital

Baydaa ALSannan; Jehad Al-Harmi; Moorkath Nandakumaran; Mohammed Foda; Eyad Al-Saleh

Volume : VIII, Issue : I, January - 2019

Assessment of Pregnancy Outcome in Diabetic Obstetric Population in Kuwait Tertiary Hospital

Baydaa Alsannan, Jehad Al Harmi, Moorkath Nandakumaran, Mohammed Foda, Eyad Al Saleh

Abstract :

Objective: Although diabetes mellitus is known to complicate pregnancy, data on pregnancy outcome in diabetic pregnancies are scanty. Hence we decided to conduct a retrospective study on pregnancy outcome in pregnancies complicated by Type2 diabetes, in an obstetric population in a Kuwait tertiary hospital.

Material and Methods: A total of 1250 women were scanned to evaluate pregnancy outcome in Type2–Diabetic and control pregnancies. In control group, 118 pregnant women were enrolled with inclusion criteria of singleton delivery between 35–41 weeks of gestation and having uncomplicated course of pregnancy. Only those clinically diagnosed with Type 2 Diabetes (n=20), were included in the Study. Statistical significance between obstetric and control groups was assessed using the SPSS software.

Results: Maternal weight at the time of delivery, blood sugar level, HbA1C level, placental weight, mode of delivery and newborn: placental ratio were significantly higher (Student�s t–test, p<0.05) in Diabetic Population (n=20) compared to control population (n=125). However, Student�s t–test showed no significant difference (p>0.05) between gestational age at delivery, and weight of newborn at delivery. Neonatal weight: placental weight ratio (BPR) in diabetic group averaged 5.30�0.15 while in the control group the ratio averaged 4.95�0.22, Student�s t–test showed no significant difference in BPR values in the 2 Groups.

Conclusions: Type2 Diabetes in Pregnancy was not associated with significantly BPR value in diabetic pregnancies compared to control population Absence of significant increase in birth weight of newborns in diabetic population could be attributed to the high quality obstetric and clinical care in Kuwait.