Effect of Gestational Diabetes Mellitus on Newborn Hearing: A Systematic Review.

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY Annals of Otology Rhinology and Laryngology Pub Date : 2024-10-02 DOI:10.1177/00034894241287014

Komal Aggarwal, Rohit Ravi

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Abstract

Objective: Gestational diabetes mellitus (GDM) is associated with several adverse health conditions in newborns such as preterm birth, hyperbilirubinemia, macrosomia, respiratory distress. However, the effect of GDM on the hearing sensitivity of newborns is still unclear. The study aimed to explore the effect of GDM on newborn hearing. The study aimed to explore the effect of GDM on newborn hearing.

Method: A systematic search was conducted using PubMed, Scopus, and CHINAL databases. Keywords like "gestational diabetes," "diabetic pregnancies," "hearing loss," "hearing impairment," and "hearing disorder" were used to form a search string. The Rayyan software was used for screening procedure. The full-length articles were shortlisted, extracted, and appraised.

Results: The 7 articles were included in the review. Findings suggest that hearing loss is more prevalent in newborns with GDM pregnancies than in non-GDM pregnancies. In addition, OAE findings were "referred during the first hearing screening of newborns with GDM pregnancies." The refer rate of the first bilateral hearing screening was higher for newborns with GDM pregnancies. Furthermore, children of diabetic pregnancies were found to be at risk of bilateral hearing loss, particularly sensorineural in nature.

Conclusion: The present systematic review suggests an association between GDM and a higher refer rate in hearing screening. A multidisciplinary collaboration between gynecologists, pediatricians, and audiologists can smoothen the early detection of hearing loss in newborns with GDM pregnancies, leading to early intervention and better clinical outcomes to improve the quality of life of affected newborns.

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妊娠糖尿病对新生儿听力的影响：系统回顾

目的：妊娠期糖尿病（GDM）与新生儿的多种不良健康状况有关，如早产、高胆红素血症、巨大儿、呼吸窘迫等。然而，GDM 对新生儿听觉灵敏度的影响仍不清楚。本研究旨在探讨 GDM 对新生儿听力的影响。该研究旨在探讨 GDM 对新生儿听力的影响：方法：使用 PubMed、Scopus 和 CHINAL 数据库进行系统检索。使用 "妊娠糖尿病"、"糖尿病妊娠"、"听力损失"、"听力损伤 "和 "听力障碍 "等关键词组成搜索字符串。使用 Rayyan 软件进行筛选。对全文进行筛选、提取和鉴定：综述共收录了 7 篇文章。研究结果表明，与非 GDM 孕妇相比，GDM 孕妇的新生儿听力损失更为普遍。此外，OAE 结果 "在 GDM 妊娠新生儿的首次听力筛查中被转介"。GDM 妊娠的新生儿首次双侧听力筛查的转诊率较高。此外，研究还发现糖尿病孕妇的孩子有双侧听力损失的风险，尤其是感音神经性听力损失：本系统综述表明，GDM 与听力筛查中较高的转诊率之间存在关联。妇科医生、儿科医生和听力学家之间的多学科合作可以顺利地早期发现 GDM 妊娠新生儿的听力损失，从而进行早期干预并获得更好的临床结果，提高受影响新生儿的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.