Schwingshandl J, Rosegger H, Haas J, Hofmann H M, Weiss P A
Universitäts-Kinderklinik, Graz.
Monatsschr Kinderheilkd. 1989 Feb;137(2):93-7.
We report on 143 newborns of mothers with insulin dependent diabetes during pregnancy. The mean birth weight was 3.091 (+/- 619) g at a mean gestational age of 38.4 (+/- 2) weeks. Neonatal morbidity was associated with the disease class, insulin levels in the amniotic fluid, urine and cord blood; and especially persistent fetal hyperinsulinism as indicated by repeatedly high amniotic fluid insulin levels during pregnancy. One infant died (neonatal mortality 0.69%) of a severe cardiac malformation combined with a caudal regression syndrome. This was the only major malformation in the group.
我们报告了143例孕期患有胰岛素依赖型糖尿病母亲的新生儿情况。平均出生体重为3.091(±619)克,平均孕周为38.4(±2)周。新生儿发病率与疾病类型、羊水、尿液和脐血中的胰岛素水平有关;尤其是孕期羊水胰岛素水平反复升高所提示的持续性胎儿高胰岛素血症。一名婴儿死于严重心脏畸形合并尾椎退化综合征(新生儿死亡率0.69%)。这是该组中唯一的主要畸形。