Comparison of Perinatal Complications in Macro so mic infants of Diabetic and Nondiabetic Mothers

Cardiovascular system (ventricular septal defect, myocardial hypertrophy, transposition of great vessels, patent ductus arteriosus, coarctation of aorta), central nervous system (neural tube defects, anencephaly), gastrointestinal system (anal atresia, duodenal atresia, small left colon), genitourin...

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Bibliographic Details
Published in:Dicle tıp dergisi 2023-12, Vol.50 (4), p.439-446
Main Authors: Yaman, Akan, Kandemir, Ibrahim, Unkar, Zeynep Alp, Kersin, Sinem Gulcan, Kole, Mehmet Tolga, Bilgen, Hulya, Ozek, Eren
Format: Article
Language:English
Subjects:
Babies
Birth injuries
Birth weight
Brachial plexus
Cesarean section
Gestational age
Gestational diabetes
Hypocalcemia
Hypoglycemia
Intensive care
Metabolism
Mothers
Newborn babies
Postpartum period
Pregnancy
Pulmonary hypertension
Respiratory distress syndrome
Standard deviation
Ventilators
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Summary:Cardiovascular system (ventricular septal defect, myocardial hypertrophy, transposition of great vessels, patent ductus arteriosus, coarctation of aorta), central nervous system (neural tube defects, anencephaly), gastrointestinal system (anal atresia, duodenal atresia, small left colon), genitourinary system (renal agenesis, pelviectasis, ureteral duplication) defects may occur9'10. 15-45% of pregnancies of diabetic mothers may result in fetal macrosomia11. In this study, we aimed to compare perinatal, postnatal and metabolic outcomes in macrosomie IDMs and non-IDMs treated in the neonatal intensive care unit (NICU). Respiratory status (any respiratory problem; need for invasive ventilation, respiratory distress syndrome), echo-cardiographic features (ventricular septal defect, myocardial hypertrophy, pulmonary hypertension, patent ductus arteriosus), metabolic problems (hypoglycemia, hypocalcemia, polycythemia), birth injury (Erb-Duchenne paralysis, clavicle and vertebral fracture, cephalohematoma, caput succedaneum) and perinatal asphyxia were evaluated. Studies have reported that cesarean delivery was statistically higher in IDMs compared with non-IDMs16'17. Since some of the patients were referred to our unit from different centers, we could not evaluate whether the high cesarean section rate in the IDMs was an emergency cesarean delivery due to fetal distress or whether it was preferred by gynecologists because of the lower risk of birth trauma.
ISSN:1300-2945
1308-9889
DOI:10.5798/dicletip.1411481