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Original scientific paper

Early neonatal outcome of women with gestational diabetes

Ella Đukić ; Medical Faculty Osijek, J.J. Strossmayer University Osijek
Diana Milas ; Medical Faculty Osijek, J.J. Strossmayer University Osijek; General Hospital Vukovar
Tihana Nađ ; University Hospital Osijek
Marijana Arambašić ; University Hospital Osijek
Andrea Prutki ; University Hospital Osijek
Vesna Milas ; Medical Faculty Osijek, J.J. Strossmayer University Osijek;University Hospital Osijek


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Abstract

Gestational diabetes (GD) is one of the most common metabolic complications in pregnancy. Pregnant diabetic women have more often complications during pregnancy and childbirth. Hypoglycemia, hypocalcemia, macrosomia, lower Apgar score and infection, jaundice, birth injuries and cyanosis are often seen in their newborns. Aim. We compared two groups – newborns of diabetic mothers and controls during two years period and try to determine whether there are any differences among them – Apgar score, birth weight, clinical characteristics, need for oxygenation and duration of hospitalization. Methods. There were 262 newborns of mothers with GD during 2015 and 2018 at Clinical hospital center Osijek. Retrospective case control study was done. The controls (n=262) were first neonates born after the examinees in 2015 and 2018 whose mother were healthy. Results. Pregnant women with GD were older and also tend to have more complications during the delivery. Their infants were more often macrosomic, hypoglycemic, and hypocalcemic when compared to control group. They require more oxygen treatment, longer hospitalization and they are more often born by elective and urgent C-section. Conclusion. Gestational diabetic mothers was still connected with worse early neonatal outcome.

Keywords

Gestational diabetes; newborn; complications in pregnancy; pregnancy outcome

Hrčak ID:

251872

URI

https://hrcak.srce.hr/251872

Publication date:

1.7.2018.

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