Endocrine Abstracts

Introduction: Pregnancy in diabetic women is a high-risk pregnancy whose prognosis is linked to the degree of glycemic control from conception to delivery, however, a diabetic patient is encouraged to plan her pregnancy. However, many diabetic women find themselves in a situation of unwanted pregnancy and poorly manage their diabetes during pregnancy.

Goals: Study the causes of unwanted pregnancies and their impact on the evolution of diabetic pregnancy.

Materials and Methods: A retrospective descriptive study from January 2016 to December 2022, was conducted in the endocrinology and diabetology department of the IBN ROCHD University Hospital Center in all patients followed for diabetic pregnancy.

Results: Our study included 712 patients followed for diabetic pregnancy, of which 16% of pregnancies were unwanted. In the group of unwanted pregnancies: The most dominant age group was between 25-35 years old with an average age of 32 years, of which 70% were of low socioeconomic level and 55% were multiparous. A glycemic imbalance was objectified in 40% of parturients with an average HbA1C of 9%. The contraceptive methods most used were: 39% of estrogen-progestogens in which 72% of the causes of pregnancy were forgetting to take the pill, 27% were the cessation of contraception by a health professional because of diabetes, 7% under the intrauterine device with poor monitoring, 4% under microprogestogens; and 11% under male condom or withdrawal; while 39% were not under any contraceptive method. Among the parturients, 42% were difficult to balance. The evolution of pregnancy was complicated by preeclampsia in 15% of parturients and macrosomia in 20% of newborns.

Conclusion: Pregnancy in diabetic women requires close glycemic monitoring to ensure perfect glycemic control. Contraception in Morocco is available at the health center, while its use by parturients is still unknown, which leads patients to unwanted pregnancies. Hence the need to educate patients and health professionals on the benefits of effective contraception and good glycemic control in preconception.