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KMID : 0438219770140010199
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Korea University Medical Journal
1977 Volume.14 No. 1 p.199 ~ p.207
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Study on the Newborn Infants born from Mother with Glycosuria
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Abstract
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The chance of survival for the infant of a diabetic mother is now a very good one, but the surviving newborn infant is at risk during the first week of life.
They are subject to hypoglycemia, acidosis, hypocllcemia, respiratory distress syndrome, and hyperbilirubinemia, and the chance of a congenital abnormality is increased.
At birth the baby is likely to be larger and heavier than the length of gestation period would suggest, and it may even be possible to diagnose the prediabetic state in mother who have born infants of successively increasing birthweight. Glycosuria is a one of the indicative- finding of diabetes mellitus, but many healthy women show positive glycosuria during the pregnancy.
In order to determine the relation between the birth weight of. infants and maternal- glycosuria, 229 newborn infants born from mother with glycosuria during.the period of. Jan. 1, 1974 to June 30, 1976.
The results obtained were as follows:
1. The incidence of positive glycosuria in 1686 pregnant women was 13.6%.
2. Mean- weight of infants born from mother with glycosuria were 3.200.16kg in male, 3.07 0.03kg in female at birth.
3. There was no significant difference in the birth weight with degree of maternal glycosuria or mode of delivery.
4. The highest birth weight noted in the infant born after 42 weeks of gestational age from mother with glycosuria but no difference was found with gestational age or degree of maternal glycosuria.
5. Infants born from multipara with glycosuria weighed heavier than that of babies from primipara at birth, but there were no close relation between birth weight and parity or maternal age.
6. Intrauterine fetal death rate was slightly higher in infant born from mother with glycosuria,
but there was no evidence of positive correlation between baby´s condition (estimated by Apgar score) with materal glycosuria.
7. Overall incidence of maternal toxemia was 13.60% and slightly higher in mother without glycosuria than with glycosuria.
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