Study of Management of Diabetes in Pregnancy of North Karnataka Population

90 Diabetic pregnant diabetic women were selected for study out of 90 28 (31.1.%) were pre-existing (type-1, type-2) diabetics and 62(68.8%) were gestational diabetes. Among these Ninety patients of Diabetics 38(42.2%) were multigravid and 52 (57.7%) were prima gravid and mode of delivery was lower segmental section 61(67.7%) and spontaneous vaginal delivery were 29 (32.2%) and risk factors of neonatal and fetal complications were compared in both pre-existing and gestational diabetes. Still birth in GDM was 1.1%, and 4.4% in pre-existing diabetes. intra-partum death was 1.1% in GDM and 2.2% in pre-existing diabetes. Shoulder dystocia 2.2% and jaundice 1.1% observed only in pre-existing diabetes. Percentage of Hydrocephalus was 1.1% in GDM and 2.2% in pre-existing diabetes. Percentage of congenital heart Anomalies were 2.2% in GDM group and 3.3%in pre-existing Diabetes group. Macrosomia were 2.2% in GDM group and 3.3% in pre-existing diabetic group of women. This study will certainly help the Obstrecian and Gynecologist, Endocrinologist, Radiologist to manage the Diabetics in pregnancy, because in Diabetic pregnancy excess of insulin crossing over the placenta may cause macrosomia, preeclampsia, intra-uterine fetal demise, neonatal hypoglycemia, neonatal hyper-bilirubinemia.