Department of Obstetrics and Gynaecology, King Edward V1I1 Hospital, Durban, Natal, Republic of South Africa.
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Diabetic retinopathy in pregnancy
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1984.tb05272.x
Issue
1471-0528/asset/cover.gif?v=1&s=b4e1d96c46e18c61210d584b63c13ee375cf562b "BJOG: An International Journal of Obstetrics & Gynaecology")
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 91, Issue 1, pages 11–17, January 1984
Additional Information
How to Cite
PRICE, J. H., HADDEN, D. R., ARCHER, D. B. and HARLEY, J. McD. G. (1984), Diabetic retinopathy in pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology, 91: 11–17. doi: 10.1111/j.1471-0528.1984.tb05272.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Received 29 December 1982; Accepted 5 July 1983
- Abstract
- References
- Cited By
Summary. The records of 23 insulin-dependent diabetics who had serial ophthalmological examinations during pregnancy and afterwards were reviewed. Fourteen pregnancies occurred in 10 patients with no retinopathy; 30% of these patients had obstetric complications. The mean birthweight was 3.5 kg. Ophthalmological status was unchanged in this group. In eight patients with background retinopathy during 10 pregnancies the obstetric complication rate was 70% and mean birth-weight 3.3 kg. During pregnancy there was no evidence of progression of retinopathy. One patient developed proliferative retinopathy 4 years later. Five patients had proliferative retinopathy. The mean age (32 years) and duration of diabetes at index pregnancy (18 years) was greater than for the other groups. All patients developed pre-eclampsia and mean birthweight was 2.8 kg. Four of these patients required argon laser photocoagulation in association with pregnancy for progressive retinopathy; one died subsequently from end-stage diabetic nephropathy; the other four have maintained their pre-pregnancy visual acuity from 4 to 10 years.