FETO MATERNAL OUTCOME IN DIABETIC MOTHER AND ITS ASSOCIATION WITH NEONATAL MORTALITY: A STUDY OF TERTIARY HOSPITAL OF PESHAWAR, KPK PAKISTAN
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Keywords
Diabetes, Mortality, Newborn, Feto Maternal Outcome, Neonatal Mortality
Abstract
Introduction: The aim of the current study was to investigate the association between feto maternal outcome in diabetic mothers and its association with neonatal mortality in tertiary care hospital, Peshawar, Pakistan.
Methods: A retrospective cross-sectional research design was adopted in January 2024- June 2024. The population of the current study included all the mothers who were diagnosed with pre-existing diabetes who delivered at Hayatabad Medical Complex, Peshawar during the past 6 months. Data was collected from the medical records. A sample of 168 diabetic mothers, calculated through Cochran's formula, and their new newborns was collected through purposive sampling technique. Maternal Outcomes, including Mode of Delivery and Postpartum Hemorrhage (PPH), while Fetal Outcomes including Stillbirth, Meconium-Stained Liquor and Low APGAR Score was calculated. Demographics, descriptive, and Chi-square test was conducted for association between maternal diabetes and neonatal mortality rates based on maternal diabetes characteristics. Analyses was done through SPSS.
Results: The results indicated that 35.1% had type 1 diabetes and 64.9% had type 2 diabetes, indicating a predominant presence of type 2 diabetes in the study sample. Majority of diabetic mothers (47.6%) underwent normal delivery, while 37.5% required cesarean section, and 14.9% had instrumental delivery. Similarly, a total of 8.9% of mothers sustained genital tract trauma during delivery, indicating potential complications associated with childbirth. 8.9% of newborns of diabetic mothers were stillborn, indicating a significant risk factor associated with maternal diabetes. A low APGAR score (<8/10) was observed in 23.8% of newborns, highlighting potential neonatal health challenges at birth. The neonatal mortality was 4.8%, indicating deaths among newborns within the first 28 days of life and there was a significant association between maternal outcomes and neonatal mortality (Chi-Square = 6.21, p = 0.013).
Conclusion: According to the results of the current study, diabetes may have serious consequences for both mother and neonates therefore early diagnosis and treatment with dietary changes and use of oral hypoglycemic drugs or insulin are crucial. Pregnant women with pre-existing diabetes are more likely to have complications throughout their pregnancy,
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Mahnaz Hanif
MBBS, FCPS Obstetrics and Gynecology, Senior Registrar, Maqsood Medical Complex, Peshawar, KPK Pakistan.
Syeda Wajeeha Ojala Shah
MBBS, FCPS Obstetrics and Gynecology, Assistant consultant Maroof International Hospital Islamabad, Pakistan
Neelam Hassan
MBBS, FCPS Obstetrics and Gynecology, Consultant at Rukhsana Mother and Child Care Trust Hospital, Peshawar, KPK, Pakistan.
Iman Adnan
MBBS Student, Kabir Medical College, Gandhara University Peshawar, KPK, Pakistan.
Hoor Arif Kamal
MBBS Student, Kabir Medical College, Gandhara University Peshawar, KPK, Pakistan.
Farhana Jabeen Shah
Associate Professor, Department of Community Medicine, Kabir Medical College, Gandhara University Peshawar, KPK, Pakistan.