Mohsin Fauzia, Khan Shareen, Baki Md Abdul, Zabeen Bedowra, Azad Kiswhar
Department of Paediatrics, BIRDEM General Hospital and Ibrahim Medical College, Dhaka, Bangladesh.
Consultant and Coordinator, CDiC (Changing Diabetes in Children), BIRDEM General Hospital, Dhaka, Bangladesh.
J Pak Med Assoc. 2016 Sep;66(9 Suppl 1):S81-4.
Women with diabetes in pregnancy, either pre-gestational Diabetes Mellitus (Type 1 & Type 2) or Gestational Diabetes, are at increased risk for adverse pregnancy outcomes, including preterm labour and increased foetal mortality rate. Adequate glycaemic control before and during pregnancy is crucial for improving foetal and perinatal outcomes in these babies. Perinatal and neonatal morbidities and mortality rates have declined since the development of specialized maternal, foetal, and neonatal care for women with diabetes and their offspring. However, infants of diabetic mothers are at risk for developing complications as macrosomia, hypoglycaemia, perinatal asphyxia, cardiac and respiratory problems, birth injuries and congenital malformations. In this review article we describe the neonatal management of the offspring of diabetic mothers.
患有糖尿病的孕妇，无论是孕前糖尿病（1型和2型）还是妊娠期糖尿病，发生不良妊娠结局的风险都会增加，包括早产和胎儿死亡率上升。孕期前后充分的血糖控制对于改善这些婴儿的胎儿及围产期结局至关重要。自从为患有糖尿病的妇女及其后代发展了专门的孕产妇、胎儿和新生儿护理以来，围产期和新生儿的发病率和死亡率有所下降。然而，糖尿病母亲的婴儿有发生并发症的风险，如巨大儿、低血糖、围产期窒息、心脏和呼吸问题、产伤和先天性畸形。在这篇综述文章中，我们描述了糖尿病母亲后代的新生儿管理。
