[Classification of the diabetes according to Hare in cases of pregnant women].
OBJECTIVE
The purpose of this paper was to show that the clinical classification of the diabetes according to Hare, in comparison with that classification according to P. White which is being used at the moment, is more useful in cases of pregnant women.


METHODS
The aim of this work was to compare the obstetric results within White and Hare classes and prove of absence of statistical differences between B and C classes which are distinquished in White's classification as separate one and proving difference between classes B and C as a joined class and R, F, RF classes also joined into one.


METHODS
As a material for this study we used 489 diabetic pregnant women. The following have been analyzed: frequency of spontaneous birth, induced birth or planned cesarean section, number of vaginal delivery and cesarean section, duration of pregnancy, frequency of premature delivery, weight of the newborn, frequency of hypotrophy and hypertrophy, the Apgar points, frequency of malformation and intrauterine or postnatal death. White and Hare classification have been compared between each other in the light of clinical usefulness. Classes B and C have been joined into one, as B + C, on the basis that only difference between them was duration of diabetes. Class D in White's classification has been ignored as it is not clinically uniform. Classes R, F, RF have been treated as one class. The level of diabetes control has been compared between groups B and C, B + C and R + F + RF and also between groups DM and DM+. The class of pregnancy diabetes has been ignored as that is separate group in both classifications.


RESULTS
There were no differences found in obstetric results between classes B and C. The statistically significant differences affecting all the obstetric events have been observed between classes DM and DM+ (in Hare classification) and artificially created classes B + C and R + F + RF (in White classification). The level of dependence was similar in both comparison.


CONCLUSIONS
It seams advisable to simplify White's classification consisting of 10 classes and use the more recent one and simpler Hare classification composed of 3 classes.
Krzyczkowska-Sendrakowska
M
M
Oddziału Patologii Ciazy i Intensywnego Nadzoru Połozniczego Katedry, Collegium Medicum UJ w Krakowie.
D001034:Apgar Score; D016640:Diabetes, Gestational / Q000145:classification*; D005260:Female; D006801:Humans; D011247:Pregnancy