Abstract

Diabetes in pregnancy influences the intrauterine growth, mortality and morbidity of fetuses and newborns. Owing to modern treatment options during the last 15 years, the outcome of diabetic pregnancies has shown a favourable change.
A case report of a 39-year-old woman is presented. She had a history of diabetes since 1986. In 1985 her delivery was completed by Caesarean section. The condition of the newborn was good and her later development was normal. In 1987 the patient had a second pregnancy and the delivery was again completed by  Caesarean section. The diabetic phetopathy and respiration distress syndrome of the newborn was diagnosed and the mother was sterilized by operation. In 2002 the diabetes of the patient was well compensated, no diabetic complications were revealed. There were no medical restrictions to pregnancy.
Laparoscopic tubal anastomosis was performed for reversal of sterilization. The operation was successful and 1.5 years later a healthy girl was born.