Early Postnatal Adaptation of a Newborn from a Mother with Type I Diabetes Mellitus

Abstract

Objective: to demonstrate the course of early period of postnatal adaptation of a premature newborn born from a mother with type 1 diabetes mellitus (T1DM), characterized by abnormal glucose and lipid metabolism. Adverse factors included complications during pregnancy. Conclusion. Medical examination of the newborn born from a mother T1DM included the assessment of glycemic profile and a full evaluation of metabolism, including lipid metabolism. Respiratory therapy was selected based on clinical and laboratory data. The aim of care was normalize the metabolism and eliminate hypoxia and its consequences as soon as possible. The highfrequency oscillatory ventilation was the possible priority in the selection of mechanical ventilation mode, which allowed to quickly eliminate hypoxia. This strategy resulted in reconstitution of spontaneous breathing, the normalization of metabolism and stabilization of the newborn's condition by the end of the early neonatal period.