2024/12/31 by Kasdallah, N., BenSalem H, Blibech S +4
#Gestational diabetesmellitus #Nouveau-né-grossesse-diabèteges- tationnel - complications périnatales – morbidité – mortalité–malformationscongénitales–Tunisie #Tunisia #congenital malformations #infant #morbidity #mortality #newborn
paper · doi:10.71566/pist-rmp-194939
Aim:Toevaluatetheepidemiologicaldata,perinatalcharacteristics,neonatalmorbidityandmortalityof newborns from diabetic mothers (NDM). Methods:thiswasaretrospective,descriptive,conductedinNeonatalIntensiveCareUnitoftheMilitary Hospital of Tunis. The study population included all NDM born between January 2008 and December 2012. Weincludednewbornsfrommotherswithknowndiabetesandthosefrommotherswhosediabetes was discovered during pregnancy. Results : The NDM accounted for14. 75 % ofbirths and 29. 3 % ofhospitalizations during the studyperiod. Gestationaldiabetesratewasof95. 8%withareccurencerateof1. 9%. Noprogrammedpregnancy was noted. The use of insulin therapywas of 9 %. The birth was premature in 13. 4 %. Complications were dominated by neonatal respiratory distress (14. 6 %) and macrosomia (10. 4 %). The rate of congenital mal- formations was 4. 9 % with predominance of cardiovascular, neurological, skeletal and urogenital malfor- mations. The stillbirth rate was 0. 7 %, the neonatal mortality rate was 1. 6 %. The majority of dead NDM were premature. Conclusion:Thediabetesisacommonendocrinedisorder. Itsfetalandneonataladverseeffectsarenu- merousandsignificant. Itsprevention,screeningandtreatmentarethethreelinkstopromotethrougha bettercollaboration among endocrinologists, general practitioners, gynecologists-obstetricians and neo- natologists.