FOETAL MORTALITY IN PREGNANCY OF DIABETICS

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Abstract
A series comprising 90 diabetic women with 99 pregnancies and 102 infants, from the 19 year period 1946-1964 has been analysed. The series includes all women whose 1st attendance in the department was at least 150 (150-250) days before the calculated term and who continued their pregnancy till the infants weighed 1000 g or more. There was a preponderance of severe cases. The perinatal mortality was 14 deaths or 14%; however, in 12 class-F cases there were 8 deaths, and in 90 non-F cases 6 deaths or 7%. By comparison with the results of previous pregnancies in these women the series shows a very favorable progress in non-F cases. The new system of classification according to prognostically bad signs during pregnancy (PBSP) has been used and is of value. The PBSP complications seen were toxemia and hyper-pyretic pyelitis only. In the 69 non-F cases also without any PBSP complication the fetal mortality was 4%. The investigation and treatment of latent and manifest urinary tract infection should be reinforced. At present the therapeutic result in F cases is so poor that induced abortion and sterilisation should be advised more often.

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