Home Archive Vol.43, No.4, 2017 Prenatal, Obstetric and Perinatal Aspects in Pregnancy Associated with Pregestational Diabetes

Prenatal, Obstetric and Perinatal Aspects in Pregnancy Associated with Pregestational Diabetes

A.V. TETILEANU(1), C. BERCEANU(2), Ș. PAITICI(3), LOREDANA ELENA CIUREA(4), SABINA BERCEANU(2)

(1)Department of Obstetrics and Gynecology, Emergency County Hospital Târgu-Jiu, Romania; Doctoral School, University of Medicine and Pharmacy Craiova, Romania, (2)Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Craiova Romania; 2ndObstetrics and Gynecology Clinic, Emergency County Hospital Craiova, Romania, (3)2nd Surgery Clinic, Emergency County Hospital Craiova, Romania; Doctoral School, University of Medicine and Pharmacy Craiova, Romania, (4)2nd Obstetrics and Gynecology Clinic, Emergency County Hospital Craiova, Romania; Doctoral School, University of Medicine and Pharmacy Craiova, Romania

    Abstract: We report the case of a 37-year old primigesta, primipara (IGIP) patient with a singleton, naturally obtained pregnancy, diagnosed with type I diabetes mellitus from the age of three, carrier of an insulin pump for 11 years. The patient was diagnosed in adolescence with with a tumor of the ischio-rectal fossa with multiple attempts of excision which failed due to the particular situation of the tumor. Ultrasound examination diagnosed in the first trimester of pregnancy a voluminous right ovarian cystic tumor. The patient presented pregnancy-induced hypertension starting with 28 gestational weeks. Maternal-fetal and obstetric management assumed sequential ultrasound examination, ovarian tumor and maternal blood pressure drug control, and also the surgical management of the ischio-rectal tumor. Cesarean section was performed at 38 gestational weeks, outcoming with a live fetus, normal weight, good neonatal progression and favorable postoperative progression of the mother. In this case report, we emphasize the fact that in pregestational diabetes mellitus and pregnancy-induced hypertension, constant glycemic control, performed by the insulin pump, prior and during gestation, and the maternal blood pressure control are essential for maternal-fetal outcome.
    Keywords: glycemic control, insulin pump, blood pressure control, ischio-rectal tumor, surgery

DOI 10.12865/CHSJ.43.04.15 


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Volume 43 Issue 4 2017