J Korean Pediatr Soc.  2003 May;46(5):447-453.

Complications and Perinatal Factors According to the Birth Weight Groups in the Infants of Diabetic Mothers

• Son KR
• Back HJ
• Cho CY
• Choi YY
• Song TB
• Park CH

Abstract

PURPOSE
This study was performed to compare complications and perinatal factors according to the birth weight groups in the infants of diabetic mothers(IDM).
METHODS
Three hundred and one singleton diabetic mothers and their babies of more than 30 weeks' gestational age admitted in the department of Pediatrics, Chonnam University Hospital from January 1996 to March 2002 were enrolled. Complications and perinatal factors were compared between large for gestational age(LGA) and appropriated for gestational age(AGA) infants.
RESULTS
Hypomagnesemia was observed in 37.5%, jaundice in 21.3%, hypoglycemia in 11.1%, hypocalcemia in 7.0%, and birth injury in 19.6%. Congenital anomaly was noted in 24.9% with cardiovascular anomaly most commonly. In the LGA group, the frequencies of jaundice, hypoglycemia, tachypnea, and birth injuries were higher, and the interventricular septum was thicker than the AGA group. In the LGA group, Cesarean section rate, maternal height, weight before pregnancy, weight gain during pregnancy, and the incidence of unawareness of gestational DM were significant compared with the AGA group.
CONCLUSION
In the LGA group, the frequencies of jaundice, hypoglycemia, tachypnea, and birth injuries were higher, and the interventricular septum was thicker than the AGA group. In the LGA group, maternal height, weight before pregnancy and weight gain during pregnancy were larger, and the incidence of unawareness of gestational DM was higher compared with the AGA group. These results suggest that careful examination and management are needed to detect the high risk, pregnant DM mothers with possible LGA babies.

Keyword

Infants of diabetic mothers; Large for gestational age; Complication; Perinatal factors

MeSH Terms

Birth Injuries
Birth Weight*
Cesarean Section
Female
Gestational Age
Humans
Hypocalcemia
Hypoglycemia
Incidence
Infant*
Jaundice
Jeollanam-do
Mothers*
Parturition*
Pediatrics
Pregnancy
Tachypnea
Weight Gain