Association Between Diabetes and Pregnancy: 81 Cases Collected at the Maternity Hospital of the Social Hygiene Institute of Dakar
Fatou SAMB, Mouhamadou Mansour NIANG, Ahmadou Bamba SECK, Cheikh Tidiane CISSE
Patients and Methods: This was a retrospective, descriptive and analytical study carried out over a
3-year period (January 1, 2019, and December 31, 2021), focusing on the management of the association
between diabetes and pregnancy in the maternity ward of the Social Hygiene Institute Hospital of Dakar.
Data was collected and analyzed using Google Forms software.
Results: We identified 81 cases of association between diabetes and pregnancy among the 6003
deliveries, a frequency of 1.3%. The epidemiologic profile of the patients was that of a woman with
an average age of 35 years (31 years for type 1 diabetics and 36 years for type 2 diabetics), poor
(40.7%), married (97.5%), with a secondary education (32.1%), with a domestic activity (28.4%) and
with a socioeconomic level considered average (65.4%). In our series, type 2 diabetes was predominant
(69.1%). Slightly more than half of the patients (54.3%) had received regular diabetic follow-up. The
Cesarean section was the most common mode of delivery (72.2%). In our series, 41 patients (50.6%) had
complications. During pregnancy these were dominated by pre-eclampsia (16%), followed by glycemic
imbalance (14.7%). Perinatal complications were dominated by prematurity (16%), low birth weight
(LBW) (16%) and fetal macrosomia (12.3%). Perinatal mortality was recorded in 151.5 live births. Risk
factors for maternal complications were age over 35 years (p=0.0001), type 1 diabetes (p=0.003), poor
follow-up (p=0.003), and low socioeconomic level (p=0.0001). Risk factors for perinatal complications
were maternal age less than 25 years (p=0.0001) and cesarean delivery (p=0.005).
Conclusions: Pregnancy in diabetic women is associated with an unfavorable maternal-fetal prognosis.
Pregnancy must be planned and monitored accordingly.
