Endocrine Abstracts

Introduction

For diabetics, preparation for pregnancy is essential; it allows conception in the best conditions, in order to reduce the risk of fetal malformation and abortion. The objective of this study is to determine the factors involved in pregnancy planning.

Materials and methods

Descriptive retrospective study, including 200 patients with pre-gestational diabetes followed in the department of gynecology and obstetrics between October 2019 and October 2020.

Results

The study included 200 patients with an average age of 31.9 years (19–49). 31.2% had type 1 diabetes and 68.8% had type 2 diabetes. The mean presentational BMI was 23.36 kg/m (14–47). Glycemic control during pregnancy was not achieved in 70.7% of patients. The average duration of diabetes was 6.5 years (1–20) with an HbA1c of 8.16%. Among the patients, 24.7% had planned their pregnancy (HbA1c less than 6.5%) compared to 75.3% who had not. In terms of motivation, pregnancy was highly desired in 75.2% of patients who had planned their pregnancy compared to 56.2% of other patients. Regarding the presence of previous obstetric complications, patients who had planned their pregnancy had a history of fetal death in utero in 19.51% vs 10.2%. In addition, there was no difference with respect to socio-economic level or the presence of social security coverage or the other obstetrical histories studied, or the type of diabetes.

Discussion

The occurrence of pregnancy in a woman with diabetes potentially carries many risks for both mother and child. Pregnancy programming involves therapeutic adaptation to achieve perfect glycemic control and screening for possible complications. All diabetic women of childbearing age should be educated in this regard.