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Abstract
COMPLICATIONS IN INFANT OF DIABETIC MOTHER
Firas Shihab Ahmed*, Ehab Sameer Abdulsada and Ahmed Abdulameer Mohammed
ABSTRACT
Background: Diabetes is the common medical complication in pregnancy. It affects about 0.5-5% of all pregnancies. Infants of diabetic mother are at increased risk of periconceptional, fetal, neonatal and long term complications. Objective: To observe and evaluate the significance of the complications seen in Infants of diabetic mothers. Method: The study took place in the Neonatology department of AL Yarmouk Teaching Hospital, Baghdad, Iraq, from February 2015 to September 2015, focusing on infants born to diabetic mothers. These infants underwent a comprehensive physical examination, particularly for congenital anomalies and birth injuries, alongside necessary laboratory and imaging tests such as blood sugar levels, serum calcium, hematocrit, and chest X-rays. Specific tests like serum bilirubin and blood cultures were performed based on clinical indications. Results: In a study at the NICU of AL Yarmouk Teaching Hospital involving 154 infants, 77 were born to diabetic mothers and 77 served as controls. Infants of diabetic mothers showed higher complication rates, with hypoglycemia (77.9%), macrosomia (39%), and respiratory distress (28.5%) being the most common. Other significant complications included birth trauma, hypocalcemia, polycythemia, hyperbilirubinemia, and birth asphyxia. Conclusion: Diabetic moms' babies have several difficulties. Babies of diabetes mothers need strict glycemic control and adequate monitoring to avoid morbidity, death, and long-term problems. Paediatricians should attend births to reduce morbidity and death.
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