Original article
English
Kadiki OA, Reddy MR, Sahli MA, Shawar H, Rao S.
Benghazi Diabetic Clinic, Libya.
Diabetes Res Clin Pract. 1993 Jul;21(1):39-42.
Abstract
During the period from 1 June 1984 to 1 June 1991, 988 pregnant diabetic patients were treated by a team of physicians and obstetricians in Benghazi Diabetic Clinic. Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed for the first time during pregnancy. Thirty-nine patients defaulted. Eight hundred and seventy-six patients were treated with insulin and 112 patients were controlled by diet. The average daily insulin dose was 40.12 units. The majority, 64.5%, delivered vaginally and 35.5% by caesarean section. Rates of abortion, intra-uterine death and still birth were 7.99%, 3.28% and 2.6%, respectively. The mean birth weight was 3.78 +/- 0.89 kg. Congenital anomalies of infants were 3.4%. Perinatal morality was 11.44%. Poor metabolic control has been associated with increased rates of abortion, intra-uterine death and congenital anomalies. It was concluded that team approach and multiple insulin injections could improve the outcome of pregnancy in developing countries to near current western standards.
Keywords: Diabetes; Pregnancy; Libya
Link/DOI: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T5Y-4C71DYW-G1&_user=10&_coverDate=07%2F31%2F1993&_rdoc=8&_fmt=summary&_orig=browse&_srch=doc-info(%23toc%235015%231993%23999789998%23498229%23FLP%23display%23Volume)&_cdi=5015&_sort=d&_docanchor=&view=c&_ct=14&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=a18f43a0bb805e997b5d3ef6c45195d7