All issues > Volume 46(5); 2003

Original Article

J Korean Pediatr Soc. 2003;46(5):447-453. Published online May 15, 2003.

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

Kyung-Ran KR Son¹, Hee-Jo HJ Back¹, Chang-Yee CY Cho¹, Young-Youn YY Choi¹, Tae-Bok TB Song², Chun-Hak CH Park³

¹Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea
²Department of Obstetric and Gynecology, Chonnam National University Medical School, Gwangju, Korea
³Department of Pediatrics, Seonam University Medical School, Namwon, Korea

Correspondence Young-Youn YY Choi ,Email: yychoi@chonnam.ac.kr

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.

Keywords :Infants of diabetic mothers, Large for gestational age, Complication, Perinatal factors