Kowalczyk M, Ircha G, Zawodniak-Szałapska M, Cypryk K, Wilczyński J
Clinical Psychology Department, Research Institute Polish Mother's Memorial Hospital, Lódź.
J Pediatr Endocrinol Metab. 2002 Mar;15(3):277-81. doi: 10.1515/jpem.2002.15.3.277.
The purpose of this study was to examine psychomotor development in children born to mothers with type 1 diabetes mellitus (DM1) or gestational diabetes mellitus (GDM). The influence of metabolic control in pregnant diabetic mothers and complications during labor on their children's psychological and physical development was evaluated. The analysis included 59 children, 20 of mothers with GDM, 19 of mothers with DM1, and 20 children of healthy mothers. Clinical observations and medical history were recorded and children were assessed using the Brunet-Lezine Psychomotor Development Scale. Abnormalities were found more often in the children of mothers with DM1 whose illness was insufficiently controlled during pregnancy and of mothers with serious hypoglycemia while pregnant. Speech, eye-movement coordination and social aspects were affected.
本研究的目的是检查1型糖尿病(DM1)或妊娠期糖尿病(GDM)母亲所生儿童的心理运动发育情况。评估了妊娠糖尿病母亲的代谢控制情况以及分娩期间的并发症对其子女心理和身体发育的影响。分析包括59名儿童,其中20名儿童的母亲患有GDM,19名儿童的母亲患有DM1,20名儿童的母亲健康。记录了临床观察和病史,并使用布鲁内 - 勒津心理运动发育量表对儿童进行评估。在DM1母亲所生且孕期病情控制不佳的儿童以及孕期患有严重低血糖的母亲所生儿童中,异常情况更为常见。言语、眼球运动协调和社交方面均受到影响。