Endocrine Abstracts

Introduction: Gestational diabetes (GD) is the consequence of an exaggerated insulin resistance associated with a defect insulin secretion. It is a high-risk pregnancy due to its maternal and foetal complications, the pathogenesis of which involves maternal hyperglycaemia.

Materials and methods: This is a retrospective study of 64 parturients, carried out from January 1, 2019 to January 1, 2020 in the gynaecology obstetrics of the Lalla Meryem maternity hospital of CHU Ibn Rochd of Casablanca.

Results: The average age of our parturients was 31 years, and they were multiparous in 81.24% of cases. Obstetrical complications were dominated by HTAG (14.06%), urinary tract infections (12.50%); while macrosomia (51%) and foetal death in utero (14.06%) are the two major foetal complications. The caesarean section rate was 75%.

Discussion: These high rates of maternal-foetal complications lead us to insist on early diagnosis of gestational diabetes in order to ensure a normal course of the pregnancy and to reduce the risk of complications, without forgetting the interest of follow-up and monitoring of complications in the far postpartum period for both the mother and the child. The improvement of obstetrical and perinatal prognosis depends above all on and multidisciplinary care involving the cooperation of different professionals, in particular diabetologists, gynaecologists, obstetricians, attending physicians dieticians, etc. The pharmacist also has a role of listening and advising, which can be useful to the patient. In addition, his involvement could be one of the solutions in the future in the screening of gestational diabetes. Through this study, we were able to identify the epidemiological and therapeutic characteristics, the risk factors involved, screening modalities and maternal-foetal morbidity, which allowed us to deduce the difficulties encountered during screening, diagnosis, and treatment

Conclusion: Gestational diabetes is a public health problem whose prevalence is increasing in our societies. Its short and long-term impact on children and mothers requires appropriate diagnosis and management.