Grand Round: Diabetes mellitus in pregnancy

Overview

This Grand Rounds session will focus on Diabetes mellitus in pregnancy. This will be led by Dr. Hillary Aheisibwe, Associate Consultant- OBGYN/ Fertility Specialist at Mbarara Regional Referral Hospital (MRRH) Department of Obstetrics & Gynecology.

Diabetes mellitus in pregnancy is one of the most common medical disorders complicating pregnancy. Globally, it complicates 5–20% of all pregnancies. However, the prevalence has been on the rise due to rising obesity and delayed childbearing.

Pregnancy is a diabetogenic state characterized by progressive insulin resistance from placental hormones. Poor glycemic control is associated with adverse maternal outcomes such as pre-eclampsia, polyhydramnios, operative delivery, and postpartum hemorrhage, as well as fetal and neonatal complications including congenital anomalies, macrosomia, shoulder dystocia, neonatal hypoglycemia, respiratory distress, and stillbirth. Universal screening, early diagnosis, lifestyle modification, appropriate pharmacologic therapy, close antenatal surveillance, and postpartum follow-up are essential to optimize maternal and perinatal outcomes.

 Target Audience:

Health professionals involved in care of pregnant women.

Learning Objectives/ Grand round purpose

To equip medical students of MUST and the surrounding communities with awareness and knowledge about Diabetes mellitus in pregnancy.

 To hopefully, contribute to early referral of Diabetes mellitus in pregnancy.

Moderator: Dr. Hillary Aheisibwe

Program Outline:

1. Opening remark from moderator (Dr. Hillary)

2. Case presentation (Obsgyn residents)

3. Case discussion Discussion (Obsgyn residents)

4. Questions and answers (moderator)

Closing Remarks: Dr. Hillary Aheisibwe will summarize the key takeaways from the session and provide concluding remarks.

We encourage active participation during the Q&A session following the presentations.