A Comparative study of the complications of infants of Diabetic between Overt diabetic and Gestational diabetes- Prospective study

V. Jayakar Paul Benjamin; L. Sushanth Prabhath; S. Chithra; K.M. Keerthana

Volume : VIII, Issue : X, October - 2019

A Comparative study of the complications of infants of Diabetic between Overt diabetic and Gestational diabetes- Prospective study

V. Jayakar Paul Benjamin, L. Sushanth Prabhath, S. Chithra, K. M. Keerthana

Abstract :

Background and Objectives: In the present study was investigated that the complications of infants of diabetic between overt diabetic and gestational diabetes. A prospective study was conducted among infants of diabetic mothers born at Meenakshi Medical College Hospital and Research Institute, Kanchipuram between October 2017 to October 2018. The morbidities in IDMs was studied and a comparison was made between infants born to women with pregestational diabetes and gestational diabetes. The perinatal outcome was also studied. Methods: All consecutive live born babies born to diabetic mothers at Meenakshi Medical College Hospital and Research institute between October 2017 to October 2018 were included in the study. IDMs were evaluated for morbidities like macrosomia, birth asphyxia, congenital anomalies, birth inuries, respiratory distress, hypoglycemia, hypocalcemia, hyperbilirubinemia and polycythemia. The neonatal complications in IDMs born to pregestational and gestational diabetic mothers were compared and data was analyzed. The perinatal outcome of these IDMs was studied. Results: The complications seen in IDMs were LGA (20.6%), birth asphyxia (14.7%), Congenital anomalies (32.4%), Respiratory distress (33.3%), RDS (6.1%), hypoglycemia (84.8%), hypocalcemia (3%), hyperbilirubinemia (21.2%) and polycyhemia (6.1%). Hairy Pinna was observed in 52.9% of IDMs. Here were no significant statistical differences in the incidence of complications among infants born to women with pregestational and gestational diabetes. Conclusion: we conclude that the early intervention and management of pregnancies complicated by diabetes will good neonatal care will result in decreased complications in IDMs and also will improve outcome in this high risk population.