DOI: 10.36347/sasjm.2024.v10i07.013

Pages: 650-658

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%.