A study of perinatal and neonatal outcome in infants born to diabetic mothers
Keywords:Infant of diabetic mother, Hypoglycaemia, Glycaemic control
Background: Diabetes is the common medical complication in pregnancy. It affects about 0.5-5% of all pregnancies. Infants of diabetic mother are at increased risk of periconceptional, fetal, neonatal and long term complications.
Methods: We conducted prospective hospital based study in ESIC MC &PGIMSR, Rajajinagar, Bengaluru during one year period from June 2014 to May 2015 to assess the outcome in infants of diabetic mother and association of various complications to glycaemic status of mother.
Results: The incidence of diabetes in pregnant mothers in our hospital was 3.5%. Various complications like hypoglycaemia, hypocalcaemia, polycythemia, hyperbilirubinemia, macrosomia, prematurity, respiratory distress syndrome, congenital heart diseases were observed in infants of diabetic mothers. Among them hypoglycaemia was most commonly observed complication with frequency of 28% followed by macrosomia (20%). Significant association was found between various complications and glycaemic control in mothers.
Conclusions: High frequency of complications is seen in infants born to diabetic mothers. Strict glycemic control in mother and proper monitoring in babies is required to prevent morbidity and mortality in infants of diabetic mother.
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