Pregnancy outcome among diabetic pregnant women who Delivered in jimma university medical center, southwest Ethiopia

Abstract

Background: Pregnancy outcome in diabetic women is strictly related to glycemic control during pregnancy. The disease affects women and their babies during pregnancy, labor, and delivery. However, little is known about its prevalence, birth outcomes, and associated factors in the study setting. Objective: To assess pregnancy outcomes among diabetic mothers who delivered at Jimma University Medical Center in, Southwest Ethiopia from between October 1, 2019 to November 28, 2022 Methods and Participants: We conducted an institution based retrospective study, identifying all mothers who delivered with diabetes from October 1, 2019 to November 28, 2022 at Jimma University Medical Centre. We reviewed the records of mothers who had complete data entering the information into EpiData Version 4.2 and analyzing it using SPSS Version 23.0 Result: of the 17355 deliveries at Jimma University Medical Centre, 96 mothers had diabetes and 76 of these cards had complete record for review. The mean age of the study participants was 30.8  4. Among diabetic mother, 39.6% gave birth by Spontaneous Vaginal delivery, and 65% of admissions to neonatal critical care units were related to adverse fetal outcome. Being a house wife and preterm deliveries were associated with adverse fetal outcomes (AOR = 95%CI 1.49[1.315, 3.405] and AOR = 95% CI 9.763[4.560, 20.902], respectively). Conclusion: Our finding suggests that preterm delivery and being a housewife mother are associated with adverse fetal outcomes in diabetic pregnancies. The main maternal complication in this study was PIH. Recommendation: critical care during ANC follow-up specially for housewife diabetic mothers and optimizing preterm and PIH care is crucial