بررسي فراواني ديابت در مادران باردار مبتلا به پيلونفريت بخش زنان بيمارستان امام خميني اهواز طي سال هاي 1382-1370

The frequency of diabetes in pregnant women with pyelonephritis in Imam Khomeini hospital of Ahwaz (1370-1382)

Introduction: Concidering complications of pyelonephritis in the mother and fetus such as septic shock, anemia, low birth weight, etc., recognition of these risk factors may be helpful in early and effective treatment.The purpose of this study is to determine frequency of diabetes in pregnant women with pyelonephritis and compare it with diabetes prevalence in pregnant women without pyelonephritis. Materials and Methods: This survey was conducted as a cross-sectional study on 250 pregnant women whose final diagnosis based on ICD 10-CM codes was pyelonephritis and 250 pregnant women whose diagnosis was not pyelonephritis, in the Emam Khomeini hospital of Ahwaz and these findings was analyzed statistically. Results: In 250 pregnant women with pyelonephritis, 27 cases and in 250 pregnant women without pyelonephritis, 18 cases had diabetes. Of these 27 cases (10.8%), 13 cases (5.6%) had Gestational Diabetes Mellitus (GDM) and 13 cases (5.2%) had overt diabetes. In the control group, 13 cases (5.2%) had GDM and 5 cases (2%) had overt diabetes (p=0.86), (p=0.04). Conclusion: The prevalence of Gestational diabetes in pregnant women with pyelonephritis compared to the frequency of Gestational diabetes in pregnant women without pyelonephritis had no significant difference (p= 0.86) but, the prevalence of overt diabetes in case and control groups showed significant difference (p=0.04).