FREQUENCY OF MACROSOMIA AND HYPOGLYCEMIA IN NEONATES OF (CONTROLLED VERSUS UNCONTROLLED).
Keywords:Infant of Diabetic Mother,, Hypoglycemia,, Hyperglycemia,, Macrosomia., Neonates.
Objectives: To compare the frequency of macrosomia and hypoglycemia
in neonates born to Pre-gestational diabetic mothers having controlled versus uncontrolled
diabetes during pregnancy at Liaquat National Hospital Karachi. Study Design: Descriptive
Cross-Sectional Study. Place and duration of Study: Ante-natal Clinic, Labor Room and Post
Natal Unit of Pediatric Department, Liaquat National Hospital Karachi, from October 2013 to
March 2014 over 376 neonates. Methodology: This study was carried out on 376 cases at
ante-natal clinic, labor room and Post-natal ward. Her pregnancy record Checked for control
of blood sugar level and brief history taken. Neonatal capillary blood taken at 30 minutes after
birth to check the blood glucose level. Neonatal birth weight taken immediately after birth and
plotted on growth chart for the assessment of macrosomia. Results: Mean age of the patients
was 35.37 years, male prevalence was found higher, and that is 57.40%. Mean gestational
age was 37.22 weeks. Mean duration of diabetes was 3.77 years. There were 57.70 patients
with controlled diabetes. Frequency of hypoglycemia was found in 21.50% patients, while
macrosomia was found in 36.20% patients. Conclusion: The frequency of hypoglycemia and
macrosomia in infants of diabetic mother was 21.5% and 36.50% respectively. There was a
significant difference in the frequency of macrosomia and hypoglycemia in infants of diabetic
mothers among well controlled versus uncontrolled diabetics.