diabetic Being a mother is not an obstacle. However, in order to prevent problems during pregnancy and the health of the baby to come to the world should be prevented against the problems and expert controls should not be interrupted. Internatıonal Etiler Medical Center Child Health and Diseases Specialist Uzm. Dr. View Tamtekin's Full Profile, "Otherwise, serious problems can be seen in the baby after birth," he warns mothers with diabetes.
Pregnancy is one of the most special and difficult periods of a woman's life. Every pregnancy carries a potential risk. This process carries a much greater risk for mothers with chronic illnesses. Patients with hypertension, asthma and diabetes are included in this risk group. DiabetesOne of the most common problems in pregnancy. Diabetes may develop during pregnancy as well as the number of mothers who have diabetes before pregnancy. In 0.2 to 0.3 percent of all pregnancies, the mother already has diabetes.
The expectant mother diabetes, not only during pregnancy, but also after childbirth in terms of children brings some risks. Internatıonal Etiler Medical Center Child Health and Diseases Specialist Uzm. Dr. Dr. Deniz Tamtekin explains how diabetes causes a problem in pregnancy: Blood sugar rises due to an increased need for insulin. Because of the diabetes that may occur during pregnancy, oral glucose tolerance test is required in all pregnant women at 24-28 weeks. ”
Problems of Diabetic Mothers
• Macrosomy (Large Baby)
This problem is mentioned if the baby weight is over 4000 grams. The incidence of macrosomia in all deliveries is around 2-8%, while babies with diabetic mothers can reach up to 26%. Am The higher the blood glucose level in pregnancy, the higher the incidence of macrosomia, Dr. Dr. Tamtekin said. Özellikle Keeping blood sugar under control, especially between 20-30 weeks, reduces the risk of macrosomia to lower levels. In macrosomia, all organs except the brain and kidneys are large. It is natural that the older baby will encounter many problems during delivery. The most common problems are birth traumas. MACROSOMICAND babies usually weigh the same weight as their peers at the end of 1 year, but these babies have a higher risk of obesity after 5-8 years. ”
• Hypoglycemia (Low blood sugar)
Blood sugar Hypoglycemia below 40 mg / dl is considered. Babies with low blood sugar, trembling in hands, restlessness, bruising, low body temperature, frequent breathing, respiratory arrest, respiratory distress symptoms are seen. Dr. Tamtekin, "30-60 minutes after birth, thirty minutes intervals of two blood glucose measurements below 40 mg / dl if the baby is considered hypoglycemic," he says: "Very low blood sugar and lasting for a long lasting brain damage is an important event. Baby Hypoglycemia may be caused by hypoglycemia and prolongation of hypoglycemia may affect heart muscle and cause heart failure. Therefore, if there is no obstacle for feeding, the baby should be fed orally immediately. Babies who cannot be fed orally should be treated immediately by opening the vascular access. Yapıl
• Hypocalcemia and Hypomagnesemia
Diabetic mothers can have low levels of calcium in 19-50 percent of their babies. Although there are not many symptoms in these babies who often have low calcium and magnesium low levels, tremor is the most common symptom in babies with low calcium and magnesium. Hypocalcemia and hypomagnesemia often develop in 24-36 hours. Calcium and magnesium are used in the treatment. Untreated infants have a high risk of referral.
• Neonatal Jaundice
Bilirubin levels are higher in babies of diabetic mothers compared to babies of healthy mothers. Therefore diabetic mother Prolonged neonatal jaundice is seen in 20-30 percent of infants.
• Respiratory Distress Syndrome (Respiratory Difficulty)
Diabetic mother with her babies against this problem, 5-6 times more than normal babies are at risk. Dr. Tamtekin explains this problem as follows: Res In Respiratory Distress Syndrome that develops due to the lungs not maturing enough, the lungs cannot expand sufficiently while breathing and cannot evacuate all the air while breathing. It is thought that the problems of these babies such as respiratory distress, moaning and rapid breathing are caused by the lack of a substance called surfactant in the lungs. Mechanical ventilation devices are used in the treatment. ”
• Cardiovascular Diseases (Cardiovascular diseases)
Diabetic mother in infants 50 percent of heart size, 5-17 percent of heart failure and 40 percent of heart rhythm and conduction disorders are detected.