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

• 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
• ISSN: 1300-2945; 1308-9889
• DOI: 10.5798/dicletip.1411481

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.