Maternal Diabetes

Diabetic Fetopathy

“…The most common complications associated with Respiratory Distress Syndrome are patent ductus arteriosus (PDA) in infants weighing less than 1500 grams and bronchopulmonary dysplasia [37]. The lecithin / sphingomyelin index (L / S) is one of the tests that is used as a predictor of lung maturity, when the value is greater than 2 at the end of the third trimester there is a high probability of lung maturity [38]. Also, the presence of prostaglandins in the amniotic fluid has been associated with lung maturity, if these are found in the amniotic fluid, Respiratory Distress Syndrome is generally absent [29,34,38].…”

“…It is defined as an indirect bilirubin level greater than 4 mg / dL in umbilical cord blood; greater than 6 mg / dL in the first 12 hours of birth; above 10 mg / dL in 1 day; Indirect bilirubin above 13 mg / dL between day 1 and 2, and more than 15 mg / dL at any time [3]. It occurs in 25% of cases [38]. Infants diabetics mothers with poor glycemic control during pregnancy are at higher risk of developing hyperbilirubinemia, this could be attributed to polycythemia and ineffective erythropoiesis accompanied by increased red blood cell turnover, and immaturity of bilirubin conjugation and excretion liver [38].…”

“…It occurs in 25% of cases [38]. Infants diabetics mothers with poor glycemic control during pregnancy are at higher risk of developing hyperbilirubinemia, this could be attributed to polycythemia and ineffective erythropoiesis accompanied by increased red blood cell turnover, and immaturity of bilirubin conjugation and excretion liver [38].…”