Clinical Profile and Outcome of Neonates in Maternal Diabetes: A Tertiary Care Center Study
Chirag Shah, Shantanu Jain
Abstract
Background and Aim: Maternal diabetes leads to significant adverse perinatal and neonatal outcomes. This study aims to understand the neonatal outcomes in relation to maternal glycemic control during pregnancy.
Materials and Methods: This was a retrospective observational study of 68 neonates born to mothers with diabetes, who were under observational care at our hospital.
Results: In our hospital, the incidence of neonates being born to mothers with diabetes was 1.95%. About 67.5% of the mothers had gestational diabetes mellitus and up to 60% of them showed poor glycemic control. Multiparty was a major risk factor observed in 72.5% of the cases.
Hypoglycemia (20.5%) was the most common metabolic complication followed by pathologic hyperbilirubinemia (19.1%) and respiratory distress (19.1%). Congenital defects were seen in 14.7% neonates. The neonatal mortality rate was 4.4%.
Conclusions: Strict glycemic control, proper antenatal care, and strict monitoring of neonates are essential to improve maternal and neonatal outcomes.
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