Abstract

NEONATAL COMPLICATIONS IN INFANTS BORN TO DIABETIC MOTHERS-A STUDY ON IRAQI

Hadeel Delman Najim*

Abstract

Background: Diabetes Mellitus during pregnancy has important consequences on both mother and infant, it consider one of the leading causes of maternal and fetal morbidity and mortality. It has been confirmed that adverse maternal and neonatal outcomes highly related to poor glycemic control and therefore confirmed on the importance of antenatal care and effective treatment. Objectives: To evaluate obstetric complications and infant outcomes in women with diabetes mellitus in Iraq. Materials and Methods: A total of (60) Iraqi mothers suffering from diabetes mellitus; either gestational or pre-gestational diabetes mellitus; with their living neonates (60) were included in this study during their addmition to the maternity wards in several hospitals in Baghdad, Iraq. We collect the data regarding maternal and neonatal complications and correlate them with glucose level and birth weight. Results: 60 diabetic mothers included in the study with FBG 200.88±83.16, AFI was 22.02±4.09, 27% of cases had polyhydramnios, 30% were preterm and 83% delivered by cesarean section. 42% of neonates were macrosomic and 58% of cases were hypoglycemic with FBG 39.35±12.43, serum bilirubin concentration was 9.54±3.80. Tachypnea reported in 40% of cases while prematurity reported in 30% of cases. Neonatal hypoglycemia is significantly correlated with maternal hyperglycemia as well as neonatal macrosomia and tachypnea is significantly correlated with neonatal hypoglycemia (p<0.05) while correlation with serum bilirubin concentration was non-significant. A significant differences (p<0.05) between macrosomic and non- macrosomic neonates in body weight, hypoglycemia and tachypnea while for jaundice, polyhydramnios and cesarean delivery were non-significant. Conclusion: Pregnant women with diabetes mellitus have increased incidence of obstetric and neonatal complications, which found to be related to poor glycemic control.

Keywords: Diabetic Mother, Neonatal complications, Macrosomia, Iraq.