Abstract

LEMAY VALDES, Amador et al. Predisposing factors and impact of the hypoglycaemic accident on pregnant women with pregestational diabetes under intensive insulin treatment. Rev Cubana Obstet Ginecol [online]. 2008, vol.34, n.2, pp. 0-0. ISSN 1561-3062.

OBJECTIVE: to analyze the factors predisposing the hypoglycaemic accident during pregnancy in pregestational diabetic women and its maternal and perinatal repercussion. METHODS: 175 pregnant women affected by pregestational diabetes (73 B, 22 C, 66 D, 4 F, 1 H, 5 R, y 4 F-R) were retrospectively studied from 2001 to 2006. All of them were under dietetic and insulin treatment. The latter was applied by the method described by professors Valdés Amador and Márquez Guillén. The maternal and perinatal results were comparatively analyzed among those who suffered the accident and those who did not, for which we used Fisher's chi square test with a significance of p< 0.05. RESULTS: a hypoglycaemic accident was detected in 78 patients (44.6 %). It was mild in 54 (30.9 %) and severe in 24 (13.7 %). Hypoglycaemia was more significantly frequent in type-1 diabetic women aged 25 or under, nuliparous, with low or normal body weight and with some grade of vascular lesion. No impact was detected on perinatal morbimortality, and no congenital anomalies were observed as a result of the complication. CONCLUSIONS: type-1 diabetic women with some grade of vascular lesion and with low or normal body weight are proner to the accident due very probably to the reported loss of counterregulatory hormonal reaction.

Keywords : Hypoglycaemia; pregestational diabetes.

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