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Published on: October 23, 2020
[The physical development of newborns and infants born to diabetic mothers]
Lidia Tokarska1, Hanna Dziatkowiak, Jerzy Starzyk
1Klinika Endokrynologii Dzieci i Młodziezy Katedry Pediatrii Polsko-Amerykańskiego Instytutu Pediatrii Collegium Medicum Uniwersytetu Jagielońskiego, Kraków 30-363, ul. Wielicka 265. lidia.tokarska@wp.pl
Insights
Newborns of diabetic mothers exhibit excessive growth initially, but their somatic development normalizes within 12 months. Maternal diabetes classification impacts infant morphotic data, highlighting the importance of glycemic control.
Area of Science:
- Pediatrics
- Endocrinology
- Human Growth and Development
Context:
- Maternal diabetes, including gestational diabetes (GDM) and pre-existing diabetes, can impact fetal development.
- Understanding the long-term growth patterns of infants born to diabetic mothers is crucial for pediatric care.
Purpose:
- To prospectively evaluate the somatic growth of infants born to mothers with varying classes of diabetes.
- To assess the influence of maternal diabetes severity on infant anthropometric measurements over the first year of life.
Summary:
- This study followed 103 infants of diabetic mothers for one year, categorizing them by maternal diabetes class (GDM, White Class B-C, White Class D-F).
- Measurements of body mass, length, and symmetry index were taken at birth, 6, and 12 months.
- Results indicate initial excessive physical growth in newborns, which normalizes by 12 months, with maternal diabetes type influencing observed morphotic data.
Impact:
- Provides insights into the transient effects of maternal diabetes on infant growth trajectories.
- Informs clinical monitoring and management strategies for infants born to diabetic mothers.
- Highlights the correlation between maternal glycemic status and neonatal anthropometry.
Abstract:
The aim of the study was the prospective evaluation of somatic growth of 103 children born to diabetic mothers during 1 years observation. The infants were divided into 3 groups acc. to class of maternal diabetes (acc. to White). Consequently, the following groups were established: 41 infants of GDM mothers, 44 of mothers with class B, C, and the group of 18 children of mothers with severe diabetes class D-F. The maternal diabetes was treated by intensive insulinotherapy or only by diet. Body mass, body length were measured and Symmetry index was calculated for each subject after birth, in 6 and 12-month of life. The following conclusions were drawn from the study: 1) the newborns of diabetic mothers still demonstrate excessive physical growth, 2) somatic development normalize up to 12 months of their life, 3) a type of mother's diabetes has a influence on the observed value of morphotic data.
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