The maternal diabetes mellitus and consequences for newborn

Pawlik, Dorota; Radziszewska, Renata

doi:10.18544/ep-01.14.01.1510

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…In Poland this problem has been relatively overlooked. The scarce data published so far mainly relate to fetal macrosomia in infants born to mothers with gestational diabetes 52 , 53 . Low birth weight in neonates occurs at a rate of 3–10% 2 , 5 .…”

Section: Discussionmentioning

confidence: 99%

Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction

Perenc

Guzik

Podgórska‐Bednarz

et al. 2021

Sci Rep

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In Poland the issue of microsomic body structure (micro-SBS) and macrosomic body structure (macro-SBS) has so far been overlooked. Up until now only a small amount of data have been published, most often as an overview of the problem. The current study was designed to investigate the co-occurrence of microsomic/macrosomic body structure (micro/macro-SBS) and congenital nervous system disorders or neurological syndromes with symptoms visible from infancy, based on essential data acquired during admission procedures at a neurological rehabilitation ward for children and adolescents. The study applied a retrospective analysis of data collected during hospitalization of 327 children and adolescents, aged 4–18 years who had been affected since infancy by congenital disorders of the nervous system and/or neurological syndromes associated with a minimum of one neurodysfunction. To identify subjects with microsomic or macrosomic body structure in the group of children and adolescents, the adopted criteria took into account z-score values for body height (z-score Ht), body weight (z-score Wt), head circumference (z-score HC), BMI (z-score BMI) and head circumference index (z-score HCI). The rates of micro/macro-SBS in the study group amounted to 7.3% and 0.6%, respectively. The findings show a more frequent co-occurrence of, as well as statistically significant correlations between, micro/macro-SBS and type of spasticity (cerebral palsy) (p = 0.024) as well as hydrocephalus not treated surgically (p < 0.001). Macro-SBS was found to more frequently co-occur with hemiplegia and hydrocephalus not treated surgically.

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Section: Discussionmentioning

confidence: 99%

Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction

Perenc

Guzik

Podgórska‐Bednarz

et al. 2021

Sci Rep

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“…Gestational diabetes mellitus also leads to excess weight of the newborn [41]. Almost half (48.3%) of the pregnant women and 44% of the lactating women declared the risk of obesity in the child as a result of gestational diabetes.…”

Section: Discussionmentioning

confidence: 99%

The knowledge of Polish pregnant and lactating women about the risk factors and health consequences of obesity for mother and child

Maćków

2022

Preprint

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Background: Obesity is a chronic disease that affects all populations and age groups. The last decade has seen an increase in the incidence of overweight and obesity in women, also during pregnancy. Obesity in a woman who is expecting a baby can have serious health consequences for both her and the fetus, such as: hypertension, diabetes and other non-infectious diseases.Methods: The study was approved by a total of 232 women, including 120 pregnant and 112 lactating women aged 19-42. The study group consisted of women in the second and third trimesters of pregnancy, breastfeeding and mixed method (breastfeeding and milk replacers). A specially constructed questionnaire consisting of 10 questions was used in the study. Microsoft Excel 2010 and the SPSS 13.3 statistical program were used for the calculations.Results: Among pregnant women, 83.3% of them, and 50% during lactation, did not know the answer to the question of how the Body Mass Index (BMI) is calculated. Women expecting a baby were more likely to mention pre-eclampsia and gestational diabetes as consequences of overweight and obesity in a pregnant woman. Lactating women more often indicated breastfeeding as a factor protecting their child against obesity.Conclusion: The study shows that it is necessary to thoroughly educate pregnant and lactating women and those planning pregnancy about the risk factors and complications of obesity, especially during pregnancy, because it can affect both the health of the woman and the health of the child, including his body weight, which determines the emergence of many diseases in the future.

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“…They are usually large with increased body fat and enlarged internal organs [ 10 ]. Increased fetal insulin secretion leads to hypertrophy and hyper- plasia of the β cells of the pancreas, and to the growth of the newborn’s insulin-dependent organs like the liver, kidneys, skeletal muscles and the heart (except for the brain, whose cells take glucose from the blood without insulin) leading to organomegaly [ 12 ].…”

Section: Clinical Presentationmentioning

confidence: 99%

“…It should be emphasized that the same symptoms may result from hypocalcemia, hypomagnesemia or asphyxia. Hypocalcemia and/or hypomagnesemia secondary to transient parathyroid insufficiency usually appear in the first 24–72 hours [ 10 , 12 ]. However, because in most cases, neonatal hypoglycemia is asymptomatic close glycemic control in the first hours and days of life is extremely important.…”

Section: Clinical Presentationmentioning

confidence: 99%

Infant of a diabetic mother: clinical presentation, diagnosis and treatment

Suda-Całus,

Dąbrowska,

Gulczyńska

2024

pedm

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An infant of a diabetic mother is defined as a newborn born to a mother who has diabetes during pregnancy. The term diabetic mother refers to pregnant women with diabetes diagnosed either before (type 1 or 2 diabetes) or during pregnancy (gestational diabetes). Rising incidence of type 1 and type 2 diabetes in young women and increasing maternal age at conception account for the higher risk of birth complications and adverse maternal and infant outcomes. Infants of diabetic mothers (IDMs) because of mother's diabetes are prone to developing complications and the most common include: large birth weight and complications resulting from it (i.e. birth injuries, perinatal asphyxia), cardiovascular and respiratory insufficiency (poor tolerance of labor stress), neonatal hypoglycemia and it's complications, delayed lung maturity (fetal hyperinsulinism and the opposite function of insulin to cortisol), cardiomegaly and hypertrophy of the intraventricular septum (functional narrowing of the outflow of the left ventricle and cardiac failure), congenital malformations (most often of the central nervous system and heart). Less common complications in IDMs are: persistent pulmonary hypertension, hyperbilirubinemia, renal vein thrombosis, small left colon syndrome, intrauterine death, polycythemia, and a predisposition to obesity, insulin resistance and diabetes later in life. This article presents current knowledge about pathological conditions and the recommended management for IDMs.

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The maternal diabetes mellitus and consequences for newborn

Cited by 5 publications

References 12 publications

Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction

Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction

The knowledge of Polish pregnant and lactating women about the risk factors and health consequences of obesity for mother and child

Infant of a diabetic mother: clinical presentation, diagnosis and treatment

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