We show how diabetes mellitus complicates pregnancy and what are the risks these patients and their newborns are exposed to. For this purpose the experience of Hospital San Bartolomé was revised. From January 1972 to December 1989, 56,347 pregnant women attended for pre-natal care, 11,298 (20%) women had diabetes risk factors and underwent oral glucose tolerance (OGIT) according to conventional criteria 538 patients were identified as pregnancy complicated by diabetes (GDM). Mean age was 31 y.o. (DS ± 6,5). 525 GDM (97,6%) were gestational diabetes (GD) and 13 (2,4%) pregestational diabetes (PGD). These latter were older than GD (p<0,05). 54 patients were lost (10%) and did riot deliver at the hospital. GDM women had significant maternal and perinatal complications in comparison to the total pregnant population (p<0,005). Considering abnormal plasma fasting glucose ³ 80 mg/dl (4,5 mM/...

Blood samples in the rasting state were drawn rrom 1,560 non diabetic Peruvan pregnant women at 26 to 36 weeks or gestatlon in order to establish a normal range für fasting serum glucose in pregnancy (ortho-tolouidine method) and to examine whether maternal-fetal prognosis differs when maternal fasting blood sugar (FBS) values are beyond this range. The 3rd, 50th and 95th percentiles were SO, 67, 80 and 85 mg/dl, respectively. Pregnant women with diabetes risk factors had mean serum glucose values higher titan pregnant women without such risk factors significantly. Follow up was completed on 1,415 (90.7%) of the pregnancies and 1,043 (67%) of the newborns. Maternal FDS showed a positive association to diabetes rlsk factors, pregnancy complicatlons, feto-pelvic disproportion, shoulder dystocia, operative deliveries and perinatal morbidity and mortality. A significant increase In the mate...

Blood samples in the rasting state were drawn rrom 1,560 non diabetic Peruvan pregnant women at 26 to 36 weeks or gestatlon in order to establish a normal range für fasting serum glucose in pregnancy (ortho-tolouidine method) and to examine whether maternal-fetal prognosis differs when maternal fasting blood sugar (FBS) values are beyond this range. The 3rd, 50th and 95th percentiles were SO, 67, 80 and 85 mg/dl, respectively. Pregnant women with diabetes risk factors had mean serum glucose values higher titan pregnant women without such risk factors significantly. Follow up was completed on 1,415 (90.7%) of the pregnancies and 1,043 (67%) of the newborns. Maternal FDS showed a positive association to diabetes rlsk factors, pregnancy complicatlons, feto-pelvic disproportion, shoulder dystocia, operative deliveries and perinatal morbidity and mortality. A significant increase In the mate...

El presente estudio fue llevado a cabo prospectivamente en el departamento de Obstetricia y Ginecología del Hospital Materno Infantil San Bartolomé entre febrero y octubre de 1983. Durante este tiempo hubo 3,283 partos y 188 niños nacidos de bajo peso, lo que representan un 5.72% de los partos. En este grupo se identificaron 101 niños con RCIU que representan una incidencia de 3. 07% del total de partos y 53.7% de los niños de bajo peso. Entre los niños con RCIU, hubo 42 prematuros. El Diagnóstico antes del parto fue sospechado clínicamente en 11 casos solamente y corroborado mediante ecografía en 8 de ellos. El parto culminó mediante cesárea en 22 casos e instrumentado vaginalmente en 5, encontrándose sufrimiento fetal en 17. Esto último tuvo su expresión en la alta frecuencia de niños deprimidos. La morbilidad neonatal fue alta (35 casos~ ocupando lugar destacado la hipo...