Management of diabetic pregnant patients in a tertiary center in the developing world.
OBJECTIVE
To audit our insulin regimen in our antenatal diabetics.


METHODS
170 pregnant diabetic patients were retrospectively analyzed.


RESULTS
The perinatal mortality rate was 37/1000, vs. a perinatal mortality rate of 30/1000 in our setting. Cesarean section rate was 49%. Strict blood-glucose control reduced the incidence of macrosomia and polyhydramnios. Routine amniocentesis for fetal-lung maturity was not practiced.


CONCLUSIONS
Satisfactory results in pregnant diabetic patients are achievable with an established insulin regimen in a developing country.
Daponte
A
A
Department of Obstetrics and Gynaecology, Johannesburg Hospital, University of the Witwatersrand, South Africa.
Guidozzi
F
F
Moisuc
D
D
Marineanu
A
A
D000328:Adult; D003906:Developing Countries; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy* / Q000453:epidemiology; D016640:Diabetes, Gestational / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007328:Insulin / Q000627:therapeutic use*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics; D012189:Retrospective Studies; D013019:South Africa / Q000453:epidemiology
D007328:Insulin