Pp-148 You Are Diabetic! When Have You Got D&c?

Ahmet Ugur Bediz, Gozde Petek Kosmaz
Ankara Numune Education and Research Hospital
The present study aimed to evaluate the family planning status ·of type-2 diabetic women (T2DM). All married diabetic women at the reproductive age, applying to the Diabetes Outpatient Clinic between September-November 2007 were given a survey and chi-square and one-way ANOVA tests were performed. A total of 45 women, with an age range· of 34-49 years old (mean=43,46±3,85) and number of pregnancies from 1 to 8 (mean 4,2±1,7) were analysed. A total of 5 patients had never tried contraception, while 31 patients used effective methods and 9 used methods with low effectiveness. Time from diagnosis of T2DM ranged from 1 to 18 years (mean=6,3±1). A total of 13 patients got pregnant following diagnosis, with only 2 being desired and 9 patients terminated their pregnancies by dilatation and curettage (D&C). These undesired pregnancies were not related with age, education, social security, number of pregnancy and D&C, and years from DM. Among these 45 patients, only 1 desired to have other children. Only 3 of the undesired pregnancies (3/11) used effective contraception methods and ·there was no difference in the current contraception status of women who got pregnant and who couldn't. In women who had D&C, only 1 currently used effective contraception (1/9). The current contraception method was not related with age, number of pregnancy, birth and abortion, and years from DM, however, patients who currently used effective methods had less D&C (p=0,020). The present study gave an idea about how frequent undesired pregnancies can be seen in women with T2DM and they can choose to have an operation like D&C as the last remedy. Thus, the importance of management of diabetic women in terms of family planning is revealed.