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Clincal Observation on Infants of Diabetic Mother.

Journal of the Korean Pediatric Society 1980;23(12):1008-1016.
Published online December 15, 1980.
Clincal Observation on Infants of Diabetic Mother.
Hyung Kee Moon, Eun Hee Park, Jung Suh Suh, Chan Young Kim
Department of Pediatrics, College of Medicine, Busan National University, Korea.
糖尿病産母에서 出生한 新生兒(10例)에 對한 臨床的 觀察
文炯起, 朴恩希, 徐起瑞, 金贊榮
釜山大學校 醫科大學 小兒科學敎室
Abstract
Chlinnical observation was conducted on 10 cases of infants of diabetic mother at II Sin Woman's Hopital and the Busan National University Hospital during 19 months from Jan. 1977 to Jul. 1978. The results were summarized as follows : 1. Frequency of diabetic mothers was 0.094% and most of them were in 3rd decade of age. 5 mothers treated, two of them treated irregularly, and five not treated during pregnacy had the mean duration of 3 years from onset of diabetic symptoms to delivery. 2. Diabetic mother whose mean gravidity was 3.6 had histories of toxemia(50%), natural abortions or stillbirths(19%), and I case of polyhydramniosis and pyelonephritis respectively. 3. Among 10 cases of infants of diabetic mothers (5 full terms and 5 preterms), four large for gestational age, three appropriate for gestational age, and three small for gestational age, seven of them were delivered with vaginal and three with C-S deliveries. 4. Among 10 cases of infants of diabetic mothers, two of three infants with hypoglycemia had Apgar score below 6 at 1 minute and died soon after birth, and I case showed hypoglycemic symptoms such as tremor, sweating and so on. Hyperbilirubinemia ranging from 10 to 18 mg/dl in 3 cases, RDS 2 cases, and congenital anomaly 3 cases were also observed.


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