MODERN APPROACH TO MANAGING PREGNANT WOMEN WITH DIABETES MELLITUS

Abstract

The paper provides data obtained from the obstetric department of the Primorsky Krai Regional Clinical Hospital No. 1 that specialises in the endocrine pathology. As reported, over the past 10 years there has been a six-fold increase in the number of deliveries in pregnant women with diabetes mellitus: from 0.9 % in 2003 up to 5.3 % in 2012. The paper reviews 70 labour and delivery medical records of women with diabetes mellitus. The gestational diabetes mellitus was diagnosed in most of pregnant women (60 %), the diabetes type 1 was diagnosed in 30 % of cases, and the diabetes type 2 - in 10 % of cases. The preterm deliveries were recorded in 21 % of cases. 69 % of cases required operative delivery. All babies were born alive. One in three baby was born with signs of diabetic fetopathy (macrosomia).