Morbidity and Mortality amongst Infants of Diabetic Mothers (IDM) Admitted Into Neonatology Unit of G. B. Pant Children Hospital Srinagar

Abstract

Objective: This study was done to evaluate morbidity and mortality pattern amongst infant of diabetic mothers (IDMs). Material Methods: This study was conducted Prospectively at G. B. Pant Children hospital Srinagar between June 2014 to January 2015 which is tertiary care hospital and is associated hospital of Government Medical College Srinagar India. Data on delivery mode, Gestational age, birth weight, other associated morbidities, investigation results, treatment, duration of hospital stay and outcome were collected and compared with those of infants of non-diabetic mothers matched for gestational age and birth weight admitted within same period. Maternal data were collected and reviewed retrospectively. Results: 59.6% of the IDMs were born to mothers with gestational diabetes, while 40.3% were born to mothers with pre-gestational diabetes. 45 (78.8%) were born by caesarean section of which 22 (38.5%) were born by emergency caesarean section. There was no significant difference in emergency CS rates when compared with controls, but non- IDMs were delivered vaginally. The mean GA of IDMs was 37.84±1.88 weeks. 33 (57.8%) were macrosomic. The commonest morbidities were hypoglycemia (significantly higher in IDMs than nonIDMs) and hyperbilirubinemia in 35 (61.4%) and 30 (52.6%) respectively. There was no difference in morbidity pattern between infants of pre-gestational and gestational diabetic mothers. Mortality rate was not significantly