Endocrine Abstracts (2009) 20 P644

Impact of gestational impaired glucose tolerance test on pregnancy outcome

Mohamed Sultan1, Malak Elazrag2 & Huda Khiaif1

1Diabetic Unit Aljalaa Maternity Hospital, Tripoli, Libyan Arab Jamahiriya; 2Diabetic pregnacy clinic Tripoli Medical Centerc, Tripoli, Libyan Arab Jamahiriya.

Background and aims: The high prevalence of diabetes and IGTT in women of childbearing age in our community provides an opportunity to assess prospectively the risks of adverse outcome in pregnancy of these conditions.

Method: This retrospective analysis data of a 114 pregnant women diagnosed to have gestational impaired glucose tolerance test, in the period from beginning of January 2001 to the end of December 2004 from maternal & neonatal documents, and controls were obtained by selecting and comparing with the next woman to deliver without IGTT.

Results: There was statistical difference between the mean ages among both groups (P<0.001).Inviewofparity,revealed that 63.2% of IGTT cases were multipara, and this confirm the relationship between multiparity and increased risk of IGT and GDM. The mean age for IGTT cases was 36.3. In view of the maternal age, the highest incidence ofIGTT was in the 36 year old group, while the lowest in the 32. The mean age for IGTT cases was 36.3±5.32 S.D., while in normal women 32.9.

Conclusions: Increase incidence of hypertensive disorders of pregnancy 3 fold (12.3%) compared with normal cases (4.4%), PLROM and BOH 6 fold, preterm labor 3 fold (11.4 vs 4.4%) and delivery by caesarean section 4 fold (62.3 vs 14%). Of 6.3 S.D., there was statistical difference between the mean ages among both groups (P< 0.001).

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