DIABETIC PREGNANCY - STUDY OF 212 DIABETI C PREGNANCIES (1985-1992)

A total of 212 diabetic pregnancies were studied prospectively over th e period 1985 to 1986, inclued : 76 insulinodependent diabetics (IDD), 34 non insulinodependent diabetics (NIDD), and 102 gestational diabet es. The perinatal mortality rate for all diabetic pregnancies was 1.4% (n = 3); 3 congential malformations were recorded (a therapeutic abor tion was performed in 2 cases). These results are comparable with thos e of the non diabetic population. However, it is to be noticed that ma ternal as well as neonatal morbidity was important (hypoglycaemic coma s: 18 in 9 IDD, preeclampsia: 7 IDD, 2 NIDD, 1 DG; caesarian delivery: 50% IDD, 50% NIDD, 25% DG; neonatal morbidity 20% of the new born. Th e main objectives must be now targeted on the prevention of severe hyp oglycaemia in IDD, the early diagnosis of DG and the development of pr egnancy care in NIDD.