Summary
A six-year survey of pregnancies complicated by diabetes has been performed at the Kenyatta National Hospital, Nairobi. Fifty-five babies were delivered with 14 perinatal deaths — a perinatal mortality rate of 254/1000, which was five times that of the nondiabetic population. There was one maternal death. Diabetes tended to be of short duration compared with similar series reported from developed countries. There were no perinatal deaths within a small sub-group managed according to a simple plan based on early referral for antenatal care, monitoring of diabetic control by blood glucose, and timing of delivery by use of the ‘shake test’.
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Kinnear TW, Ojo OA (1966) Pregnancy and diabetes in Nigeria. W Afr Med J 15:146–148
Notelovitz M (1970) The pregnant Bantu diabetic. S Afr Med J 44:1171–1175
Campbell CD (1971) Frequency of diabetes with special respect to diet. In: Rodriguez RR, Vallance-Owen J (eds) Diabetes: Proceedings of Seventh Congress of the International Diabetes Federation. International Congress Series No. 231. Excerpta Medica, Amsterdam, pp 325–330
Sutton C (1977) Practical approach to the problems of the parturient diabetic in developing countries. Br Med J 2:1069–1072
White P (1971) Pregnancy and diabetes. In: Marble A, White P, Bradley RF, Krall LP (eds) Joslins's diabetes mellitus. Lea and Febiger, Philadelphia, pp 581–598
Diabetes mellitus (1965) Report of a WHO Expert Committee. WHO Technical Reports Series 310. WHO, Geneva
Clements JA, Platzker ACG, Tierney DF, Hobel CJ, Creasy RK, Thibeault DW, Oh W (1972) Assessment of the risk of respiratory distress syndrome by a rapid test for surfactant in amniotic fluid. N Engl J Med 286:1077–1081
Wagstaff TI, Bromham DR (1973) A comparison between the lecithin sphingomyelin ratio and the ‘shake test’ for the estimation of surfactant in amniotic fluid. J Obstet Gynaecol Br Commonw 80:412–417
Dubowitz LMS, Dubowitz V, Goldberg C (1970) Clinical assessment of gestational age in the newborn infant. J Paediatr 77:1–10
Thompson AM, Billewicz WA, Hytten FE (1968) The assessment of fetal growth. J Obstet Gynaecol Br Commonw 75:903–916
Pederson J, Mølsted-Pederson L, Andersen B (1974) Assessors of fetal perinatal mortality in diabetic pregnancy. Diabetes 23:302–305
Stowers JM, Sutherland HW (1975) The use of sulphonylureas, biguanides and insulin in pregnancy. In: Sutherland HW, Stowers JM (eds) Carbohydrate metabolism in pregnancy and the newborn. Churchill Livingstone, Edinburgh, pp 205–220
Robert MF, NeffR K, Hubbel JP, Taeusch HW, Avery ME (1976) Association between maternal diabetes and the repiratory distress syndrome in the newborn. N Engl J Med 294:351–360
Avery ME, Gatewood OB, Brumley G (1966) Transient tachypnoea of the newborn. Am J Dis Child 111:380–385
Brazy JE, Crenshaw MC, Brumley GW (1978) Amniotic fluid Cortisol in normal and diabetic pregnant women and its relation to respiratory disease in the neonate. Am J Obst Gynecol 132:567–570
Dalenburg GW, Martin FIR, Jeffrey PE, Horacek I (1977) Amniotic fluid lecithin/sphingomyelin ratio in pregnancy complicated by diabetes. Br J Obstet Gynaecol 84:294–299
Fairbrother P, von Middelkoop A, Carson B (1979) A simple foam test on liquor amnii to predict neonatal outcome. Trop Doct 9:81–94
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Fraser, R.B. The fate of the pregnant diabetic in a developing country: Kenya. Diabetologia 22, 21–24 (1982). https://doi.org/10.1007/BF00253864
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DOI: https://doi.org/10.1007/BF00253864