Cloacal dysgenesis sequence and myelomeningocele in maternal obesity and gestational diabetes

Purpose: The risk of prenatal caudal regression syndrome in worse managed gestational diabetes mellitus is fourhundredfold and in women with BMI > 40 threefold higher in comparison to normal collective. This constellation is often found in pregnant women with a deficiency of folic acid. We describe a case of fetal malformation in obesity and gestational diabetes. Method: Case report. Result: The 25 years old woman (BMI 43) ist seen in the first pregnancy because of an insulindependent gestational diabetes mellitus. The perinatal outcome was without pathological findings. After this pregnancy she gained weight fo…