[Results of perinatal care of pregnant women with diabetes in Western Bohemia]

Abstract

Objective: Detection of diabetic fetopathy in fetuses and neonates with diabetes. The incidence of early neonatal complications of diabetes and comparison with available literature sources.

Design: Original work.

Setting: Departement of Gynaecology and Obstetrics, University Hospital of Pilsen, Department of Neonatology University Hospital Pilsen.

Methodology: In our study, we retrospectively evaluated 292 pregnant diabetic women who gave birth in our department in 2012. Before the birth were evaluated ultrasound signs of diabetic fetopathy by obstetrician, postnataly clinical signs of diabetic fetopathy by neonatologist and then their corelation was evaluated. The incidence of early neonatal complications: hypoglycemia, respiratory distress syndrome (RDS), admission newborn to neonatal intensive care unit were evaluated as well.

Results: The total number of children with diabetic fetopathy rated by a neonatologist was 30, which is 10% of all children born to diabetic mothers in 2012 (299 children totaly, 8 twins). 30 infants (10%) were placed to the neonatal intensive care unit, 26 infants (8.7%) were treated for hypoglycemia, and RDS developed in 20 infants (6.7%). The correspondence between the ultrasound diagnosis of diabetic fetopathy and postnatal findings was only discovered in 38% of cases.

Conclusion: In our study we have shown good results in perinatal care of pregnant diabetic patients in our center. The reason for the lower success rate in positive predicting of diabetic fetopathy are limitations in prenatal ultrasound diagnosis and its ambiguous evaluation criteria.