[Morbidity of the newborn infant born to a diabetic mother in relation to macrosomia].
作者信息
Jordán García I, Quintillà Martínez J M, Alcover Bloch E, González Luis G, Rodríguez-Miguélez J M, Figueras Aloy J
机构信息
Servicio de Neonatología, Maternitat-H. Sant Joan de Déu, Universidad de Barcelona.
出版信息
An Esp Pediatr. 1999 Mar;50(3):275-8.
OBJECTIVE
A descriptive study of an infant of a diabetic mother was carried out in order to analyze if macrosomia (weight greater than P90 for gestational age) is a good criteria in order to predict associated complications.
PATIENTS AND METHODS
A total of 382 diabetic mothers were attended between January 1994 and December 1996.
RESULTS
Most of the complications were similar to those reported in the literature. In infants of diabetic mothers there is a significant increase in malformations (7.1%), sepsis (10.7%), hypertrophic cardiomyopathy (12.1%), respiratory distress (12.7%), hypoglycemia (50%), polyglobulia (30.4%) and jaundice (7.1%). We did not find any differences for traumatisms (8.25%), acute fetal suffering (19.6%) or hypocalcemia (1.8%). Respiratory distress was related to gestational age.
CONCLUSIONS
The high weight for gestational age is a good parameter to predict complications in the infants of diabetic mothers.
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