Screening of Nephropathy in Pregnant Diabetic Women

Abstract Background: Diabetes mellitus is the most common medical complication of pregnancy. Gestational diabetes mellitus (GDM) represents approximately 90% of these cases and affects 2–5% of all pregnancies, while pre-existing diabetes mellitus complicates 0.2% to 0.3% of pregnancies.Objectives: To determine the prevalence of Microalbuminuria and diabetic nephropathy in pregnant diabetic women.Patients and Methods: the study is an observational cross-sectional study carried out at Al Zahraa University Hospital in the inpatient department of OB/GYN. One hundred pregnant women were enrolled in the study. All of them had diabetes mellitus (pre-or gestational DM) at any gestational age.Results: We found in our study that the prevalence of Microalbuminuria (incipient nephropathy) was 26 % and Macroalbuminuria (overt nephropathy) was 2 % among 100 diabetic pregnant women.Conclusion: This study concluded a high prevalence of Microalbuminuria in pregnant diabetic women. So, early screening and the active management of modifiable risk factors, particularly hyperglycemia, hypertension, and weight reduction was needed to reduce the burden of future end-stage renal disease.