Obstetric consequences of uncontrolled gestational diabetes – a case study

Abstract

This paper presents a case of a pregnant woman who was admitted to the obstetrics and gynecology department because of a new onset of uncontrolled diabetes in 27 weeks gestation. The maternal and fetal diabetic complications suggested a chronic character of the disease which must have been undiagnosed before pregnancy. Many of the co-existing infections caused a life- threatening ketoacidosis. Fortunately, with the adequate treatment it was possible to ensure appropriate birth weight of the newborn baby, despite the ultrasound markers for LGA (Large For Gestational Age) observed during pregnancy. Intensive insulin therapy was obligatorily continued by the mother after the delivery.