title: [Analysis of unsuccessful outcomes in a group of pregnancies with diabetes from the intensive care clinic of the Institute of Obstetrics and Gynecology in Poznan during the years 1988-1993].
abstract: In the present paper we analysed 416 diabetic pregnant women, treated in the Intensive Care Clinic--Poznań, between 1988-93. We found in this period 8 (1.93%) stillbirth, 6 (1.44%) perinatal deaths and 4 (0.96%) deaths in neonatal period. It was together 18 fetal and neonatal deaths, which gives 4.33 per cent of perinatal and neonatal mortality rate. Four newborns died because of RDS, 2 with congenital anomalies (pulmonary hypoplasia), 3 with heart defects and 1 with oesophagus anomaly. Only 3 diabetic pregnant women of the total 18, were under special care from the I trimester, and almost all been difficult to normalize the glycemia. Only in 6 cases this group glycemia profile was below 100 mg/dl, in other 8 cases this value was above 120 mg/dl. Unsuccessful outcomes mostly occurred in women with long--lasting diabetes and with vascular complications. This study prove, that despite substantial reduction of perinatal mortality rate in children of diabetic mothers, diabetes still is a cause of congenital anomalies, as well as fetal anoxia. Special adverse impact of diabetes on the development of the fetus is observed in long--lasting diabetes and uncontrolled metabolism.
authors.affiliation: Kliniki Intensywnego Nadzoru, Instytut Ginekologii i Połoznictwa A.M. w Poznaniu.
authors.forename: E
authors.initials: E
authors.lastname: Wender-Ozegowska
authors.forename: E
authors.initials: E
authors.lastname: Biegańska
authors.forename: A
authors.initials: A
authors.lastname: Banach
authors.forename: J
authors.initials: J
authors.lastname: Szczapa
authors.forename: R
authors.initials: R
authors.lastname: Biczysko
mesh_terms: D000013:Congenital Abnormalities / Q000209:etiology; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005311:Fetal Hypoxia / Q000209:etiology; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D007362:Intensive Care Units; D011044:Poland; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011254:Pregnancy in Diabetics
vernacular_title: Analiza niepowodzeń połozniczych w grupie ciezarnych z cukrzyca w KIN IGIP AM w Poznaniu w latach 1988-1993.