Yu.R. NEPSO^1,2, K.E TOROSYAN^1,2, V.A. NOVIKOVA¹, V.A. KHOROLSKIY²

¹Kuban State Medical University, 4 Sedina St., Krasnodar, Russian Federation 350063

²Regional Clinical Hospital № 2, 6/2 Krasnykh Partizan St., Krasnodar, Russian Federation 350012

Nepso Yu.R. — postgraduate student of the Department of Obstetrics, Gynecology and Perinatology, tel. (861) 222-02-09, е-mail: pc@kkb2-kuban.ru

Torosyan K.E. — postgraduate student of the Department of Obstetrics, Gynecology and Perinatology, tel. (861) 222-0209, е-mail: pc@kkb2-kuban.ru

Novikova V.A. — D. Med. Sc, Professor of the Department of Obstetrics, Gynecology and Perinatology, tel. (861) 222-01-14, е-mail: vladislavan@mail.ru

Khorolskiy V.A. — Cand. Med. Sc., Head of the maternity department of the Perinatal centre, tel. (861) 222-02-09, е-mail: pc@kkb2-kuban.ru

The study involved 250 pregnant women (mean age 32,2±4,26 years): 100 pregnant women with type 1 diabetes, 50 — with type 2 diabetes, 100 — with gestational diabetes mellitus. For most women pregnancy occurred spontaneously. In comparison groups in some cases the pregnancy was not planned, preconception preparation was not performed. In 9 (9%) of women with type 1 diabetes mellitus diabetes has been under subcompensation, 8 (16%) women with type II diabetes, insulin therapy was prescribed only after 28 weeks of pregnancy. When registering at women health service, the glycemic level in patients with type 1 and type 2 diabetes exceeded the target (9,1±0,04 and 8,05±0,36 mmol / L, respectively). Type 1 diabetes mellitus with the debut at 5-10 years, a history of non-progressors pregnancies (p<0.001), polyhydramnios (p<0.01), diabetic fetopathy and fetal weight at birth more than 4500 grams are the strong risk factors for severe complications of gestation in this pregnancy. The lack of preconception planning predicts deterioration of labor outcome for mother and fetus.

Key words: diabetes, pregnancy, preconception.

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