[Influence of pregnancy planning on obstetrical results in women with pregestational diabetes mellitus].
OBJECTIVE
The aim of the study was to compare obstetric results in two groups of pregnant women (patients that had and had not planned their pregnancy) suffering from pregestational diabetes mellitus (PGDM).


METHODS
400 women with PGDM were divided into two subgroups: planned pregnancy (P) (N = 200) and unplanned pregnancy (NP) (N = 200). The study was based on retrospective analysis of data collected at the Department of Obstetrics and Women Diseases, University of Medical Sciences, Poznan, from patients who delivered between 1995-2006. In both groups obstetrical complications and selected neonatal parameters were analyzed.


RESULTS
Statistically important differences in obstetric results between the two analyzed subgroups of patients were observed P-group was metabolically better controlled, both upon admission to our department and in the third trimester The mean daily insulin requirement among P-group patients was smaller than among pregnant NP-women upon admission to our department. P-patients suffered from miscarriages and stillbirths less frequently Neonates born to P-mothers had higher gestational age at delivery and their Apgar score and cord blood results were significantly better


CONCLUSIONS
Our results confirmed that patients with PGDM who plan their pregnancies achieve significantly better obstetric results compared with unplanned pregnancy group. Pregnancy planning should become a standard of obstetric and diabetic care in this group of patients.
Klinika Połoznictwa i Chorób Kobiecych, Katedra Ginekologii, Połoinictwa i Onkologii Ginekologicznej, Uniwersytet Medyczny im. K. Marcinkowskiego, Poznań. ewaoz@post.pl
Ewa
E
Wender-Ozegowska
Pawel
P
Gutaj
Urszula
U
Szczepanek
Katarzyna
K
Ozegowska
Agnieszka
A
Zawiejska
Jacek
J
Brazert
D000328:Adult; D001786:Blood Glucose; D016640:Diabetes, Gestational / Q000453:epidemiology / Q000628:therapy*; D005193:Family Planning Services / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D011044:Poland; D016742:Preconception Care / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012189:Retrospective Studies; D055815:Young Adult
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin