Abstract
Conclusion: Important factors that help predict neonatal morbidities, especially neonatal hypoglycemia are: a) Maternal glycemic control as reflected by HbA1c during pregnancy, b) Fetal abdominal circumference on growth scan. Recommendations: Aggressive and multi disciplinary approach should be adopted in managing diabetes in pregnancy. This is likely to save life and money by reducing number of cesarean section and number of neonatal unit admission. Tight glycemic control should be aimed for, target HbA1c in pregnancy should be <5.5. All diabetic mothers should have growth scans performed. Serial growth scans may be required in high risk cases.
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