A Study of Complications of Infants of Diabetic Mothers in Babylon Teaching Hospital for Maternity and Pediatrics

Background: Infants born to diabetic mothers are liable for a wide range of systemic & metabolic complications. Objectives: The aim of this study was to do early detection and early managements of signs and symptoms and complications that happened in infants of diabetic mothers. Also to show the outcome of infants of diabetic mothers.

Materials and Method: Medical history, physical examination, and investigations (biochemical & radiological) were done on 100 infants of diabetic mothers over about 5 months period.

Results: We found that 78% of cases delivered by caesarean section, and 55% of them have history of affected baby, 27% history of miscarriage & 9% chronic sibling morbidity & these results might be due to poor glycemic control, bad antenatal care, or maternal & social neglect. Macrosomia was 42%. Congenital anomalies include congenital heart disease 16%, Birth trauma occurs in 5% in form of fracture clavicle & brachial plexus injury. Hypoglycemia presented in 85%. Perinatal mortality, birth injuries, systemic, hematologic & metabolic complications are more encountered in infants born to diabetic mothers.

Conclusion: Infants of diabetic mothers have a lot of risky complications and they need screening even in asymptomatic cases.