The infant of the diabetic mother the critical developmental windows

Cardiovascular — These infants are at an increased risk of congenital heart defects. Careful evaluation and early diagnosis of CHD in this high-risk group are highly indicated. There is a need for development of prenatal screening programs for CHD in our population.

Early Human Development, November Single umbilical artery Management Complete blood cell count. Calcium concentration. Magnesium concentration. Bilirubin level. Arterial blood gas. Reduction in blood glucose variability may improve outcome Seminars in Fetal Neonatal Medicine Antenatal steroid Arch Pediatr.

Leandro Cordero, Term babies of diabetic mothers who are otherwise well with no clinical signs of hypoglycaemia should not have blood glucose testing in the first 2 h after birth. Thank you for your attention. JijaThomas2 Jun. ChishaWilliam May. Show More. Total views. You just clipped your first slide!

Clipping is a handy way to collect important slides you want to go back to later. Now customize the name of a clipboard to store your clips. Visibility Others can see my Clipboard. Cancel Save. About 5 percent of all pregnant women in the U. Gestational diabetics make up the vast majority of pregnancies with diabetes.

Some pregnant women require insulin to treat their diabetes. The mother's excess amounts of blood glucose are transferred to the fetus during pregnancy. This causes the baby's body to secrete increased amounts of insulin, which results in increased tissue and fat deposits. The infant of a diabetic mother is often larger than expected for the gestational age.

The infant of a diabetic mother may have higher risks for serious problems during pregnancy and at birth. Problems during pregnancy may include increased risk for birth defects and stillbirth.

It also increases the risk for birth defects, including problems with the formation of the heart, brain, spinal cord, urinary tract, and gastrointestinal system. Unlike insulin-dependent diabetes, gestational diabetes generally does not cause birth defects. Women with gestational diabetes generally have normal blood glucose levels during the critical first trimester when baby's organs form. Hypoglycemia Hypoglycemia refers to low blood glucose in the baby immediately after delivery.

This problem occurs if the mother's blood glucose levels have been consistently high, causing the fetus to have a high level of insulin in its circulation. After delivery, the baby continues to have a high insulin level, but it no longer has the high level of glucose from its mother, resulting in the newborn's blood glucose level becoming very low. The baby's blood glucose level is checked after birth, and if the level is too low, it may be necessary to give the baby glucose intravenously.

Macrosomia Macrosomia refers to a baby that is considerably larger than normal. All of the nutrients the fetus receives come directly from the mother's blood. The SlideShare family just got bigger. Home Explore Login Signup. Successfully reported this slideshow. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime. Next SlideShares. You are reading a preview. Create your free account to continue reading.

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