الفهرس 
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Abstract
e present study enrolled 60 pregnant ladies, half of them were diabetic and lfwere normal. All women were subjected to measurement ofRBS, HbA Ic, ling TG levels.The endpoint of follow up till end of pregnancy were the
dy of effect of OM and TG on mode of delivary, fetal weight, incubator
omission and history of neonatal jaundice.
These diabetics showed mean age 34.7±6.3 SD, BMI 29.3±5.1 SO, HbAIc 9.3±2.09 SO, and gestational age 33.8±5.6 SO. While the nondiabetic group showed mean age 26.1±5.7 SO, BM! 26.2±3.7 SO, HbA Ic 6.2±0.7 SD and gestational age 33.I±5.03 SD.
The diabetics were found to have higher incidence of CS, macrosomic babies and incubator admission with very high significant P values (0.001, 0.006 and 0.001 respectively) regardless of TG level, but the results was insignificant as regard history of neonatal jaundice.
The diabetics with high TG showed no significant difference in incidence of CS, macrosomic babies, incubator admission and history of neonatal jaundice in comparison to diabetic pregnant with normal TG level. Also, there was no significant difference in pregnancy outcome between nondiabetics with high and normal TG level.
In contrast, the diabetic with high TG level had a higher incidence of CS, macrosomia and incubator admission with a significant P value (0.005,
0.01 and 0.002 respectively) in comparison to nondiabetic with high TG level.
The diabetic pregnant with controlled HbA I c had higher incidence of CS, macrosomia and incubator admission in comparison to pregnant nondiabetic with very high significant P value (0.002) .
Also the uncontrolled diabetics (with high HbA1c) had higher incidence of CS, macrosomic babies, neonatal incubator admission and jaundice than controlled diabetics but with insignificant P value.
The combination of hyperglycemia and high TG level showed a highly significant effect on pregnancy outcome.
The obese diabetics also had higher incidence of CS, macrosomic babies and neonatal incubator admission in comparison to obese nondiabetic with very high significant P value (0.003, 0.004 and 0.009 respectively).
In conclusion
1. The OM was found to have a great impact on pregnancy outcome whether controlled or not.
2. Hyperglycemia alone has a limited effect on pregnancy outcome.
3. TG alone has no effect on pregnancy outcome unless in the presence of OM.
4. TG has synergistic effect on pregnancy outcome in presence of OM.