Skip to Main content Skip to Navigation
Master Thesis

Pronostic obstétrical, foetal et néonatal des grossesses diabétiques : comparaison du traitement par multi-injections quotidiennes versus pompe à insuline

Abstract : Objectives : To evaluate and compare the obstetrical, fetal and neonatal outcome of pregnancies in diabetic women treated with mutiple daily insulin injections or insulin pump (continuous subcutaneous insulin infusion). Patients and methods : Forty-one patients from the University Hospital Center between January 2010 and June 2015, whose 15 treated with multiple injections and 26 with insulin pump. Were investigated : glycemic control (HbA1c), hypertensives complications occurrence, fetal growth, pregnancy and fetal outcomes. Results : Perconceptional glycemic control (HbA1c) with multiple injections was significantly better than with insulin pump (6,5% (+- 1,5%) vs 7,4% (+- 7,4)). The rates of preterm deliveries (6,7% vs 46,2%) and macrosomia (33,3% vs 69,2%) were higher with pump. Except those criteria, the maternofetal outcome is similar for those two treatments. Discussion and conclusion : Compared to conventional treatment, insulin pump doesn t significantly change the maternofetal outcome. Medical care must be done with patient s agreement after assessment of the benefits risks ratio. It is necessary that patient receive adapted therapeutic education and, if possible, pregnancy should be planned to minimise the risks for the mother and the child.
Complete list of metadatas

Cited literature [11 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01328456
Contributor : Muriel Pelletier-Guichard <>
Submitted on : Wednesday, June 8, 2016 - 9:32:57 AM
Last modification on : Wednesday, December 4, 2019 - 9:52:02 AM

Identifiers

  • HAL Id : dumas-01328456, version 1

Citation

Pauline Fauchille. Pronostic obstétrical, foetal et néonatal des grossesses diabétiques : comparaison du traitement par multi-injections quotidiennes versus pompe à insuline. Gynécologie et obstétrique. 2016. ⟨dumas-01328456⟩

Share

Metrics

Record views

123

Files downloads

236