NEONATAL OUTCOME IN INFANTS OF DIABETIC MOTHERS
Author:
Chakravarthy B.S.1, Kumari G. Ratna2, Kumar B. Ramesh3, Malli Ramana3, Srikanth K.4, Praveen G.5, Srinu K.5
Affiliation:
1. MD Pediatrics Professor And Hod, Dept Of Pediatrics, Andhra Medical College, Visakhapatnam, 2. MD Pediatrics, Associate Professor, Dept Of Pediatrics, Andhra Medical College, Visakhapatnam 3. MD Pediatrics, Assistant Professor, Dept Of Pediatrics, Andhra Medical College, Visakhapatnam 4. Senior Resident, Dept Of Pediatrics, Guntur Medical College, Guntur 5. Junior Resident, Dept Of Pediatrics, Andhra Medical College, Visakhapatnam
Abstract
Introduction The prevalence of diabetes is increasing globally . 3 to 5 % of all pregnant women show
glucose intolerance. Approximately 90% of these women have GDM.Infants born to diabetic mothers are
prone to complications like congenital malformations and metabolic abnormalities.Most of these complications depend on
maternal glycemic control which can be prevented by good periconceptional and prenatal care. Aims and objectives This
study is taken up to evaluate complications occurring in infants of diabetic mothers and also to compare the outcome of infants
of preGDM mothers and GDM mothers Methodology This is hospital based observational study done on infants of diabetic
mothers admitted in NICU, KGH, Visakhapatnam Neonates of diabetic mothers who have other complications like heart
disease, PIH, Pre eclampsia, twin gestation, etc. which may effect the baby adversely are excluded from study Results A total of
50 neonates are studied out of whom 37 neonates are born to mothers with gestational diabetes and 13 to mothers with overt
diabetes . Mean birth weight of infants of GDM is 3.7kg. Hypoglycemia is more common in infants of GDM mothers than in overt
DM. Congenital anamolies are seen in 14% of babies. Birth injures including clavicle fracture , erb's palsy are seen in 5 babies,
all of then weighed >3.5kg and delivered by assisted vaginal delivery. Conclusion Macrosomia,birth injuries and metabolic
complications are common in infants of GDM mothers than in infants of pre GDM mothers.This shows importance of timely
screening of all pregnant women for GDM and counsel them regarding importance of glycemic control to prevent neonatal
complications.
Publisher
World Wide Journals
Subject
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Reference20 articles.
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