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A COMPARATIVE STUDY OF THE COMPLICATIONS OF INFANTS OF DIABETIC BETWEEN OVERT DIABETIC AND GESTATIONAL DIABETES IN SOUTH INDIA
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Infants of diabetic mothers (IDMs) often have complications associated with fetal hyperinsulinemia induced by maternal hyperglycemia, the incidence of gestational diabetes has significantly increased in the last decades. Infants of diabetic mothers are prone to various neonatal adverse outcomes and present study was investigated that the complications of infants of diabetic between overt diabetic and gestational diabetes. Many of the perinatal complications can be traced to the effect of maternal glycemic control on the fetus and can be prevented or at least reduced through meticulous prenatal and intrapartum care. The morbidities in IDMs was studied and a comparison was made between infants born to women with pregestational diabetes and gestational diabetes. The perinatal outcome was also studied. All consecutive live born babies born to diabetic mothers at Bhaarath Medical college and Hospital between 15th February 2021 to 15th November 2021 were included in the study. IDMs were evaluated for morbidities like macrosomia, birth asphyxia, congenital anomalies, birth inuries, respiratory distress, hypoglycemia, hypocalcemia, hyperbilirubinemia and polycythemia. The neonatal complications in IDMs born to pregestational and gestational diabetic mothers were compared and data was analysed. The perinatal outcome of these IDMs was studied. we conclude that the early intervention and management of pregnancies complicated by diabetes will good neonatal care will result in decreased complications in IDMs and also will improve outcome in this high-risk populationddd