Document Detail


Diabetic mothers and their newborn infants - rooming-in and neonatal morbidity.
MedLine Citation:
PMID:  20346077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: As a result of increased neonatal morbidity, the infants of diabetic mothers have routinely been admitted to a neonatal special care unit (NSCU). We therefore investigated whether the offer of rooming-in diabetic mothers and their newborn infants has an effect on neonatal morbidity. METHODS: The records of an old cohort of 103 infants routinely admitted to the NSCU, and a new cohort (N = 102), offered rooming-in were assessed for neonatal morbidity. RESULTS: Eighty-four (82%) of the new cohort infants followed their mothers to the maternity ward; whereas 19 (18%) were transferred to the NSCU chiefly because of prematurity. Ten infants were later transferred to the NSCU for minor problems. Neonatal morbidity and neonatal hypoglycaemia were significantly less common in the new cohort than in the old cohort [27 (26%) vs. 55 (54%), p < 0.001 and 42 (41%) vs. 64 (63%), p = 0.0027 respectively]. Maternal HbA1c in late pregnancy was significantly lower in the new cohort, but the only independent predictors of neonatal morbidity were belonging to the old cohort and preterm delivery. CONCLUSION: Neonatal care with rooming-in mothers with type 1 diabetes and their newborn infants seems safe and is associated with reduced neonatal morbidity, when compared with routine separation of infants from their mothers.
Authors:
E Stage; E R Mathiesen; P B Emmersen; G Greisen; P Damm
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-02-23
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  99     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-08-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  997-9     Citation Subset:  IM    
Affiliation:
Center for Pregnant Women with Diabetes, Department of Obstetrics, Rigshospitalet, Copenhagen, Denmark. edna.stage@rh.regionh.dk
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MeSH Terms
Descriptor/Qualifier:
Blood Glucose / analysis
Cohort Studies
Diabetes Mellitus, Type 1*
Female
Humans
Infant, Newborn
Infant, Newborn, Diseases / epidemiology,  prevention & control*
Infant, Premature
Intensive Care Units, Neonatal
Intensive Care, Neonatal / methods*
Mother-Child Relations
Outcome Assessment (Health Care)
Pregnancy
Pregnancy in Diabetics*
Rooming-in Care / methods*
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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