30Oct 2024

NEONATAL OUTCOMES IN INFANTS OF DIABETIC MOTHERS: FOCUS ON HYPOGLYCEMIA, RESPIRATORY DISTRESS SYNDROME AND MACROSOMIA

  • Associate Professor,Department of Pediatrics, Terna Medical College and Terna Specialty Hospital and Research Centre Nerul, Navi Mumbai Maharashtra, India.
  • Associate Professor, Department of Obstetrics and Gynecology, Terna Medical College and Terna Specialty Hospital and Research Centre.
  • Department of Pediatrics, Terna Medical College and Terna Specialty Hospital and Research Centre.
  • Assistant Professor (Biostatistics), Department of Community Medicine Terna Medical College.
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Background: Infants of diabetic mothers (IDMs) face heightened risks of various neonatal complications. This study evaluates the incidence of specific complications-macrosomia, hypoglycaemia, and neonatal respiratory distress syndrome (NRDS)-in this population.

Methods: A cross-sectional observational study was conducted over 1.5 years at a tertiary hospital in Mumbai. We reviewed the medical records of infants born to mothers with diabetes (both pregestational and gestational). Data on the incidence of macrosomia (birth weight >4000 grams), hypoglycaemia (blood glucose <40 mg/dL), and NRDS (diagnosed based on clinical and radiographic criteria) were collected.

Results: Among the 50 infants studied, 8% were diagnosed with macrosomia, 46% experienced hypoglycaemia, and 20% developed NRDS. The frequency of these complications was significantly higher in IDMs compared to the general neonatal population.

Conclusion: This study reveals a high incidence of macrosomia, hypoglycaemia, and NRDS in IDMs, emphasizing the need for regular antenatal follow-up and strict glycaemic control throughout pregnancy. Enhanced monitoring and management strategies are essential to mitigate these risks and improve neonatal health outcomes.

[Chandrashekhar Koli, Madhusmita Nayak, Yash Doshi and Abhiram Behera (2024); NEONATAL OUTCOMES IN INFANTS OF DIABETIC MOTHERS: FOCUS ON HYPOGLYCEMIA, RESPIRATORY DISTRESS SYNDROME AND MACROSOMIA Int. J. of Adv. Res. (Oct). 804-812] (ISSN 2320-5407). www.journalijar.com

Dr. Chandrashekhar Koli
Associate Professor, Department of Paediatrics, Terna Specialty Hospital and Research Centre
India

DOI:

Article DOI: 10.21474/IJAR01/19700      
DOI URL: https://dx.doi.org/10.21474/IJAR01/19700

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