妊娠糖尿病母亲所生新生儿呼吸窘迫综合征发病率研究

Rajith M. L., Punyashree R.
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摘要

背景:透明膜病/呼吸窘迫综合征是新生儿发病和死亡的一个重要原因。几十年来,许多研究已证实糖尿病母亲(IDMs)的婴儿与呼吸窘迫综合征(RDS)有关。现代生活方式的改变增加了女性肥胖症的发病率,从而增加了妊娠期糖尿病的发病率。妊娠期严格维持优生是一把双刃剑,一直影响着新生儿的健康,尤其是呼吸系统的成熟,这与死亡率和发病率的增加有关:这是一项为期一年的前瞻性病例对照研究:结果:透明膜病(RDS)与妊娠糖尿病(GDM)密切相关:我们的研究强调了妊娠糖尿病对婴儿呼吸系统发育的不良影响。大多数婴儿的病情是可以控制的,通过早期诊断和有效治疗可以大大改善预后。外围地区需要对并发症进行教育和预测并及时转诊,转诊医院也需要加强新生儿重症监护。
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A study of incidence of respiratory distress syndrome in newborns born to mothers with gestational diabetes
Background: Hyaline membrane disease/RDS is an important cause for newborn morbidity and mortality. Many studies have established an association of infants of diabetic mothers (IDMs) with respiratory distress syndrome (RDS) since decades. Modern lifestyle changes have increased the prevalence of obesity in women and thus diabetes in pregnancy. Maintaining strict euglycemia is a double-edged sword in pregnancy which has been affecting the neonatal health and respiratory maturity in particular which has been associated with increased mortality and morbidity. Methods: It was a prospective case control study done over a span of one year. Results: Hyaline membrane disease (RDS) is significantly associated with gestational diabetes mellitus (GDM). Conclusions: Even our study emphasized the ill effects of gestational diabetes on the respiratory development of baby. Most of the babies are manageable and outcome can be drastically improved by early diagnosis and efficient treatment. Education and anticipation of the complications and prompt referral are the need of the hour in peripheries and advancement of neonatal intensive cares in the referral hospitals is needed.
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