Journal de gynecologie, obstetrique et biologie de la reproduction · 2010
[Management of neonates born to mothers with gestational diabetes: paediatric environment].
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Mitanchez D
Аннотация
OBJECTIVE: To estimate the modalities of neonatal care for newborn from mother with gestational diabetes (GD) treated or not.
METHODS: This study is based on Pubmed search and on NICE and HAS recommendations.
RESULTS: There is no paediatric indication to organize the birth in a specialized structure, excepted in case of severe abnormality of the foetal growth, of severe malformation or of risk of prematurity. It is recommended to watch systematically the glycaemia of the newborn children of mother with GD treated by insulin or in case of macrosomia or growth restriction. The systematic surveillance of the glycaemia is not indicated at the child's of mother with GD treated by only diet and without abnormality of growth. The newborn should benefit from the usual surveillance of the neonatal icterus. The dosage of the calcemia and the realization of blood cells count are indicated according to the clinical signs. The realization of additional examinations in search of a cardiac, osseous or cerebral malformation must be directed according to the signs in the clinical examination. The indications of transfer of the newborn of mother with DG in neonatal unit are the same that for every newborn child.
CONCLUSIONS: The newborn can be welcomed in the maternity of nearness except in case of prematurity, of severe malformations or of severe abnormality of the foetal growth. The care of the newborn of mother with DG, in particular for the prevention, the detection and the treatment of hypoglycaemias, will be improved by the existence of a protocol.
METHODS: This study is based on Pubmed search and on NICE and HAS recommendations.
RESULTS: There is no paediatric indication to organize the birth in a specialized structure, excepted in case of severe abnormality of the foetal growth, of severe malformation or of risk of prematurity. It is recommended to watch systematically the glycaemia of the newborn children of mother with GD treated by insulin or in case of macrosomia or growth restriction. The systematic surveillance of the glycaemia is not indicated at the child's of mother with GD treated by only diet and without abnormality of growth. The newborn should benefit from the usual surveillance of the neonatal icterus. The dosage of the calcemia and the realization of blood cells count are indicated according to the clinical signs. The realization of additional examinations in search of a cardiac, osseous or cerebral malformation must be directed according to the signs in the clinical examination. The indications of transfer of the newborn of mother with DG in neonatal unit are the same that for every newborn child.
CONCLUSIONS: The newborn can be welcomed in the maternity of nearness except in case of prematurity, of severe malformations or of severe abnormality of the foetal growth. The care of the newborn of mother with DG, in particular for the prevention, the detection and the treatment of hypoglycaemias, will be improved by the existence of a protocol.