title: Management of diabetic pregnant patients in a tertiary center in the developing world.
abstract: 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.
authors: Department of Obstetrics and Gynaecology, Johannesburg Hospital, University of the Witwatersrand, South Africa.
authors: A
authors: A
authors: Daponte
authors: F
authors: F
authors: Guidozzi
authors: D
authors: D
authors: Moisuc
authors: A
authors: A
authors: Marineanu
mesh_terms: 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
chemical_list: D007328:Insulin