Clinical Features of 50 Deliveries of 51 Children to Diabetic Pregnants Managed Over 13 Years
スポンサーリンク
概要
- 論文の詳細を見る
Large numbers of deliveries to diabetic pregnants have not so far been described in Japan. During a 13 yr period from Feb. 1964 to Feb. 1977, 42 diabetics other than chemical diabetics had 50 deliveries, and 51 newborns were kept in our care at the Tokyo Women's Medical College Hospital. Their clinical features are analyzed here.<BR>The non-diabetic pregnant deliveries during the same 13 yr period numbered 6, 506 cases. The incidence of diabetic delivery was thus 0.76%. The age of onset of diabetes in the pregnant women ranged from 12 to 38 yr (average, 24.4 yr). The average duration of diabetes was 5.1 yr.<BR>Five pregnants (10%) had or had been found to have diabetes during pregnancy, with the duration of diabetes in four being over 10 yr, among the 50 cases of delivery.<BR>At this time, there is no obvious tendency towards increasing diabetic pregnants who have long-term diabetes.<BR>Treatment of diabetes during pregnancy in 34 cases (68%) was performed with insulin, and in four cases (8%) with diet. Ten cases changed to diet or insulin from treatment with an oral hypoglycemic agent.<BR>Eighteen cases (52.9%) showed an increased insulin requirement during pregnancy, 11 (32.3 %) had a decreased insulin requirement, and 2 (5.8%) were unchanged or "others".<BR>Among the diabetic complications encountered during pregnancy, aggravation of retinopathy from Scott 11 to Scott II was observed in four cases (8 %), while 45 cases (90%) showed no or unchanged Scott I a retinopathy. Only one case, which had Scott I b retinopathy, received photocoagulation and did not worsen further.<BR>Three cases showed deterioration of renal function after delivery.<BR>Concerning complications of pregnancy, the commonest (five cases, 10%), was asymptomatic bacteriuria.<BR>Toxicosis was observed in 3 cases (6%).<BR>Perinatal mortality was 8.2%, or four cases out of 49 cases of delivery, excluding one case of early delivery at 25 weeks. The average term at delivery was 38.2 weeks. Caesarean sections were performed in 27 cases (54%). Births were conducted as vaginal deliveries in 15 cases (30 %), and as spontaneous deliveries in 8 cases (16%).<BR>The mean weight at birth of neonates born after 37 weeks of gestation was 3, 549g. The ccmmonest complication among the newborns was hypoglycemia, followed by respiratory distress syndrome.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
- Hyperlipidemia and Analysis of the Use of Lipid-lowering Drugs in Non-insulin-dependent Diabetes Mellitus.
- Thyrotoxic Crisis in a Patient with Mitochondrial Diabetes Mellitus.
- Rapidly Progressive Nephropathy in a Young Patient with Mitochondrial Gene Mutation.
- An Autopsy Case of Ketoacidosis in Insulin Dependent Diabetes Mellitus Patient Complicated with Adult Respiratory Distress Syndrome, DIC and Leukopenia.
- Studies on Alcoholic Beverages in Relation to Body Weight for Mild Diabetics