Patient cooperation. A determinant of perinatal outcome in the pregnant diabetic

Samuel W. Law, W. Gibbons, A. N. Poindexter

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

From 1974 through 1978, 59 insulin-dependent diabetic patients were treated in a university-affiliated general hospital. They were managed primarily as outpatients with hospitalization for regaining glucose control and/or in the treatment of obstetric complications. In 1976 a special clinic for pregnant diabetic patients was established. The 26 patients treated during the clinic's first two years are compared to 33 treated in the preceding 2 1/2 years. The significant difference between the two groups was the improvement in the number of patients whose cooperation was good, 67% to 85% (p < 0.05), and the reduction of perinatal morbidity and mortality. The perinatal mortality rate was 18% and 8% in the preclinic group (group I) and the clinic group (group II), respectively. The combined perinatal morbidity and mortality was reduced from 36% to 15%, respectively, in groups I and II (p < 0.01). A constant rate of 3.2% perinatal mortality was observed in the obstetric population during the study period.

Original languageEnglish (US)
Pages (from-to)197-201
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume24
Issue number5
StatePublished - Jan 1 1980

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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