Fetal and Neonatal Complications of Gestational Diabetes: A Survey in Two Referral Hospitals of Yaoundé, Cameroon

Abstract

We carried out an observational study with cross-sectional design at the Yaoundé Central Hospital and the Yaoundé Gynaeco-Obstetric and Pediatric Hospital, which are two referral and university teaching hospitals in Yaoundé, Cameroon. This was a seven-month investigation from files of all women admitted with GDM and their babies from January 2018 to January 2020. Data on sociodemographic, clinical and therapeutic characteristics were collected using a collection sheet. Data was then registered and analyzed using the Statistical Package for the Social Sciences (SPSS) software version 20. ResultsA total of 34 pregnant women with gestational diabetes were identified in both hospitals, out of 652 women admitted in the service during the same period. This corresponded to an incidence of 5.2% for GDM. The average GA at delivery was 37.7 weeks of gestation ±1.8. Most of these women (27: 79.2%) were being followed by both gynecologist and endocrinologist (21: 61.6%). All neonates were assessed and followed-up by pediatrician. Most deliveries were at term (20: 58.3%). The rate of caesarean delivery was 22 out of 34 deliveries (64.1%), and there were 20 live births (88.4%) (Table 1).