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SAS Journal of Medicine | Volume-10 | Issue-07 Call for paper
Epidemio-Clinical Study of Materno-Fetal Complications of Diabetes at CSREF CVI of the Bamako Health District
B. Berté, Dao, K, A. Koné, I. Traoré, Coulibaly, A, Camara, B. D, F. N. Coulibaly, Berthé, B. B, Diakité, M, Guindo, H, Dollo, I, B. Maiga, D. S. Sow
Published: July 9, 2024 | 47 37
DOI: 10.36347/sasjm.2024.v10i07.013
Pages: 650-658
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Abstract
Introduction: The aim of our study was to study the frequency of maternal and fetal complications of Diabetes in the endocrinology and gyneco-obstetrics department of the Reference Health Center of Commune VI of the Bamako district. Methodology: This was a descriptive and analytical study of a prospective nature covering the period from December 1, 2019 to December 31, 2020. Results: In total we identified 80 cases whose average age was 31 years +/- 5.84 with extremes of 20 and 42 years. They were all married. The risk factors found were familial ATCD (1st degree) in 37.04% of cases, advanced maternal age in 25.93% of cases, obesity/overweight in 22.22% and ATCD of DG in 14.81%. Elsewhere we found 02 or more risk factors in the same patient in 55.56% and macrosomia in 20% of cases. During our study, 71.25% of patients were put on insulin therapy with RHD, 26.25% on RHD alone and 2.5% were on OAD. Delivery was carried out vaginally in 61.25% and 38.75% of patients underwent cesarean section. Maternal complications were dominated by urinary infections and hypoglycemia, respectively 46.15% and 23.08% of cases. Embryonic and fetal complications were dominated by macrosomia and polyhydramnios, respectively 46.53% and 18.60% of cases. Neonatal complications were dominated by hypoglycemia and hypocalcemia in 50% and 16.67%.