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ANALYSIS OF RISK OF COMPLICATIONS OF PREGNANCY IN WOMEN WITH TYPE I DIABETES MELLITUS

Dr Anam Gull, Dr Nuzhat Fatima, Dr Hafiza Ramsha Aftab

Abstract: Introduction: Type 1 diabetes holding pregnant women are also associated with a highly increased risk of congenital malformations, neonatal morbidity, and obstetric complications. Objectives of the study: The main objective of the study is to analyse the risk of complications of pregnancy in women with type I diabetes mellitus. Methodology of the study: This cross-sectional study was conducted in Sir Ganga Ram hospital, Lahore during October 2018 to April 2019. The data was collected from 100 female patients who visited the OPD of the hospital during their pregnancy. The data was collected through a questionnaire analysis. Results: The data was collected from 100 patients. Maternal age, parity, and race did not differ significantly from those of the general pregnant population. Mean first trimester HbA1c was 6.5% (SD 0.7%); glycaemic control was excellent (HbA1c ≤ 6.0%) in 90 (32%), good (6.1-7.0%) in 122 (43%), and not optimal (> 7.0%) in 71 (25%) of the pregnancies. Mean HbA1c during pregnancy was 6.2% (0.9%); excellent in 113 (40%), good in 121 (43%), and not optimal in 49 (17%) pregnancies. Mean HbA1c early in pregnancy determined in the central laboratory was 6.7% (0.7%). Conclusion: It is concluded that despite a high frequency of planned pregnancies, resulting in overall good glycaemic control (early) in pregnancy and a high rate of adequate use of folic acid, maternal and perinatal complications were still greatly increased in women with type 1 diabetes.

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