A 32-year-old pregnant woman was found to have high blood sugar starting from the 28th week of her pregnancy but did not receive any treatment. By the time she reached the 40th week, the fetal heart rate had slowed down. When she arrived at the hospital, it was discovered that the fetus was stillborn. This was her fourth pregnancy, with one miscarriage and one child weighing 4 kg as her previous experiences.
During this pregnancy, at 28 weeks, she was diagnosed with high blood sugar but did not take any measures to treat it. Subsequent prenatal check-ups revealed that the fetus was large and she had polyhydramnios. The woman experienced symptoms like excessive thirst and frequent urination, but did not consider it to be serious.
A week before reaching 40 weeks, she went to the doctor and found that the fetal heart rate was slow. Once she was transferred to Bach Mai Hospital, it was determined that the fetus had not survived, leading to the need for a cesarean section. Dr. Nguyen Quang Bay, Head of the Department of Endocrinology and Diabetes at the hospital, mentioned that the patient had various risk factors indicating diabetes, such as a family history of type 2 diabetes, a previous history of giving birth to a large baby, large fetus size, polyhydramnios, high blood sugar levels, and symptoms of diabetes.
The patient’s HbA1C test result upon admission to the hospital showed high blood sugar levels from about 3-4 months ago. This resulted in the unfortunate outcome of stillbirth, possibly due to complications like acidosis or severe heart or neurological issues. Doctors advise that pregnant women with risk factors such as being over 35 years old, having multiple pregnancies or undergoing IVF
