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    Gestational DM

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    Ahmed Anwar
    Pre-gestational diabetes can cause several congenital anomalies in babies, most commonly cardiovascular defects. These babies are also at risk for intrauterine growth restriction. Delivery may be preterm to avoid birth injuries from potential macrosomia. Newborns are at risk of hypoglycemia, hypocalcemia, hypomagnesemia, and delayed control of parathyroid hormone in the first 24-72 hours after birth. They may also develop respiratory distress syndrome even when delivered at full term. Fetal hypoglycemia can also lead to hyperghagonemia and decreased gastrointestinal motility, causing delayed passage of meconium. Organomegaly in these newborns puts them at risk for issues like polycy

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    Gestational DM

    Uploaded by

    Ahmed Anwar
    3 views1 page
    Pre-gestational diabetes can cause several congenital anomalies in babies, most commonly cardiovascular defects. These babies are also at risk for intrauterine growth restriction. Delivery may be preterm to avoid birth injuries from potential macrosomia. Newborns are at risk of hypoglycemia, hypocalcemia, hypomagnesemia, and delayed control of parathyroid hormone in the first 24-72 hours after birth. They may also develop respiratory distress syndrome even when delivered at full term. Fetal hypoglycemia can also lead to hyperghagonemia and decreased gastrointestinal motility, causing delayed passage of meconium. Organomegaly in these newborns puts them at risk for issues like polycy

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    Pre-gestational diabetes can cause several congenital anomalies in babies, most commonly cardiovascular defects. These babies are also at risk for intrauterine growth restriction. Delivery may be preterm to avoid birth injuries from potential macrosomia. Newborns are at risk of hypoglycemia, hypocalcemia, hypomagnesemia, and delayed control of parathyroid hormone in the first 24-72 hours after birth. They may also develop respiratory distress syndrome even when delivered at full term. Fetal hypoglycemia can also lead to hyperghagonemia and decreased gastrointestinal motility, causing delayed passage of meconium. Organomegaly in these newborns puts them at risk for issues like polycy

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    3 views1 page

    Gestational DM

    Uploaded by

    Ahmed Anwar
    Pre-gestational diabetes can cause several congenital anomalies in babies, most commonly cardiovascular defects. These babies are also at risk for intrauterine growth restriction. Delivery may be preterm to avoid birth injuries from potential macrosomia. Newborns are at risk of hypoglycemia, hypocalcemia, hypomagnesemia, and delayed control of parathyroid hormone in the first 24-72 hours after birth. They may also develop respiratory distress syndrome even when delivered at full term. Fetal hypoglycemia can also lead to hyperghagonemia and decreased gastrointestinal motility, causing delayed passage of meconium. Organomegaly in these newborns puts them at risk for issues like polycy

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    Pre-gestational DM Gestational DM

    1. Congenital anomalies? 1. NO  Congenital anomalies?


     Most common: CVS( VSD& TGV)
     Most specific: sacral agenesis (Caudal
    regression syndrome)
    2. IUGR: ? 2. Macrosomia ?
    3. Delivery:
     Time: preterm
     Method: Birth injuries due to macrosomia
    4. Metabolic:
     Hypoglycemia
     Hypo-ca & hypo-Mg? delayed neonatal PTH control (24-72h)
    5. Chest: Neonatal RDS even at full term? Insulin inhibits maturational effect of
    cortisol on lung ‫أزرق‬
    6. GIT: Fetal hypoglycemiaHyper-gucagonemia GIT motility  delayed
    passage of meconium ( Small left colon syndrome)
    7. Organomegally hypoxia
     CVS: Polythycymia ‫ & أحمر‬Hyperviscosity& hyperbilirubinemia ‫أصفر‬
     Metabolic: acidosis
    8. PNMR: 40% due to CFMF

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