DIABETIC PREGNANCY IN SENEGAL (YEARS 1980 TO 1989)

INTRODUCTION AND OBJECTIVES Diabetic Pregnancy Prognosis in Seventies is it better in Eighties because of Patient Education? METHODOLOGY Ret rospectively, since 1980 to 1989, in Women in status to breed, Diabeti c Pregnancy was screened in our Department. W.H.O.'s (1980) Diabetes M ellitus Criterias, PEDERSEN's Criterias, White's Classification were u sed. Studied Parameters were etiologic factors (age, type, Diabetes ol dness and control), former and present Evolution of Pregnancies (term and pregnancy's product).RESULTS A - In Global Study, 15,07 % Diabetic Pregnancies were observed: 22 (37 %) Insulin Dependent and 38 (63 %) Non Insulin Dependent. The global mean of age was 31 years; Diabetic M ellitus was less than 10 years old in 90 % cases whatever the type. Th eir control was not good (Glycemic Control < 1.4 g/l in less than 50 % ). Diabetes complications were nephropathy (13.6 % and 8 %), retinopat hy (13.6 % and 18.5 %), arterial hypertension (0 % and 26.32 %), cetoa cidosis (31.42 % and 0 %), urinary tract infection (18 % and 0 %) resp ectively in Insulin Dependent and Non Insulin Dependent Pregnancies. N ear a third (31.6 %) of Insulin Dependent and a third (33.41 %) for No n Insulin Dependent were of D, F, H White's Class. Multipares were oft en Non Insulin Dependent and inversely Insulin Dependent frequently pa ucipare. Former Pregnancies had near 25.5 % interrupted term in Insuli n Dependents. Present Pregnancies have given 28.5 % and 32 % of Normal Children: 14.25 and 12 % of Abortions and 14.25 % and 6 % of Spontane ous Premature Parturitions respectively in Insulin Dependents and Non Insulin Dependents. B - In Analytic Study of Foetopathies, bad Prognos is Factors were high Maternal Age, Multiparity, bad Glycemic Control w hatever Diabetes type. For Insulin Dependent, Negligency was added and for Non Insulin Dependent, Obesity, Arterial Hypertension and all PBS P. DISCUSSION AND CONCLUSION A relatively mild Diabetic Pregnancy Prog nosis in our areas with limited means has been observed despite of Pat ients Education.