Incidence of neonatal hypoglycemia in large-for-gestational-age infants of dichorionic twin pregnancies

Suzuki, Shunji; Yoneyama, Yoshio; Sawa, Rintaro; Shin, Sumio; Kaneko, Kazuma; Araki, Tsutomu

doi:10.1007/pl00007478

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Hypoglycemia can have deleterious effects on the well being of the neonates, especially, twins [14,15,16]. Although the proportion of hypoglycemic BWD preterm neonates in comparison to the term BWD hypoglycemic neonates was almost double, there was not sufficient evidence to contribute hypoglycemia in BWD neonates to prematurity.…”

Section: Discussionmentioning

confidence: 99%

The effects of birth weight discordance and prematurity on twin neonatal outcome

Singh¹,

S²,

Sutija³

et al. 2003

Journal of Perinatal Medicine

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Section: Discussionmentioning

confidence: 99%

The effects of birth weight discordance and prematurity on twin neonatal outcome

Singh¹,

S²,

Sutija³

et al. 2003

Journal of Perinatal Medicine

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“…It is well known that neonatal hypoglycemia occurs more frequently in LGA infants than AGA infants (12). The incidence of neonatal hypoglycemia in LGA infants is reported as having a wide range (8.1-33%) (5,6,(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

Frequency of Neonatal Hypoglycemia in Large for Gestational Age Infants of Non-Diabetic Mothers in a Community Maternity Hospital

Araz

2006

Acta Med. (Hradec Kralove, Czech Repub.)

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Large for gestational age (LGA) infants are at increased risk for hypoglycemia. The aim of the study was to determine the frequency of neonatal hypoglycemia in LGA infants of non-diabetic mothers in a Community Maternity Hospital in Gaziantep, Turkey. Hospital records of 5229 infants of non-diabetic mothers were examined retrospectively. Newborns with birth weight more than 4000 g were defined as LGA. The control group consisted of 100 appropriate for gestational age (AGA) newborns. Capillary blood glucose was measured at the second hour of life. Glucose values lower than 40 mg/dL (2.2 mmol/L) were defined as hypoglycemia. Ninety-six (1.8%) of the 5229 infants were found to be LGA. The mean capillary glucose levels of the LGA newborns were significantly lower than those of the AGA newborns (54 mg/dL (3.0 mmol/L) vs. 95 mg/dL (5.2 mmol/L), p<0.0001). Neonatal hypoglycemia was established in 16 of 96 LGA infants (16.7%). In the control group hypoglycemia was absent. The rate of hypoglycemia in LGA infants was significantly higher than the rate in the AGA infants (p=0.0000). As hypoglycemia is not rare in LGA infants and can have serious consequences, blood glucose levels should be screened routinely in LGA infants.

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Infants of diabetic mothers with abnormal fetal growth missed by standard growth charts

Narchi¹,

Skinner²

2009

Journal of Obstetrics and Gynaecology

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Diabetic pregnancies may result in fetal macrosomia when glycaemia is poorly controlled, and when associated with diabetic vasculopathy, with small for gestational age (SGA) neonates. Both groups of infants have high neonatal morbidity. As fetal growth depends on maternal genetic influences, ethnic group or parity, relying exclusively on population-based growth charts may wrongly categorise the growth pattern of these infants. We compared neonatal morbidity and mortality of a cohort of 214 infants of diabetic mothers (IDM), identified either by population standards or by customised birth weight percentiles (adjusted for maternal height, booking weight, parity, ethnic origin, gestational age at delivery and sex). A total of 68 (31.8%) were diagnosed with macrosomia, 11 (16%) of whom were identified by the customised growth method alone, and 16 were diagnosed as SGA (7.5%), of whom the majority (13 or 81.2%) were identified by the customised growth method alone. None had increased mortality and morbidity.

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Incidence of neonatal hypoglycemia in large-for-gestational-age infants of dichorionic twin pregnancies

Cited by 3 publications

References 6 publications

The effects of birth weight discordance and prematurity on twin neonatal outcome

The effects of birth weight discordance and prematurity on twin neonatal outcome

Frequency of Neonatal Hypoglycemia in Large for Gestational Age Infants of Non-Diabetic Mothers in a Community Maternity Hospital

Infants of diabetic mothers with abnormal fetal growth missed by standard growth charts

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