Author/Authors :
Dehdashtian, Masoud ahvaz jundishapur university of medical sciences - Department of Pediatrics, اهواز, ايران , Aletayeb, Mohammad Hassan ahvaz jundishapur university of medical sciences - Department of Pediatrics, اهواز, ايران , Moarefian, Shirin ahvaz jundishapur university of medical sciences - Department of Pediatrics, اهواز, ايران , Ziaei Kajbaf, Tahereh ahvaz jundishapur university of medical sciences - Department of Pediatrics, اهواز, ايران , Taheri, Mehri ahvaz jundishapur university of medical sciences - Department of Pediatrics, اهواز, ايران , Aminzadeh, Majid ahvaz jundishapur university of medical sciences - Diabetes Research Center, اهواز, ايران
Abstract :
Objective: To investigate the outcomes of macrosomia and compare the risk factors associated with neonatal and maternal complications between mothers with gestational diabetes (GDM) and Non-GDM mothers, and determine whether it is important to screen for GDM before birth. Methodology: We sampled the venous blood of the mothers of 120 macrosomic neonates in the first 24 hours after delivery, and assessed glycohemoglobin (HbA1c) levels. A diagnosis of GDM was based on a HbA1c 5.9%. Results: Twenty-three (19%) mothers had an HgbA1c 5.9%. Maternal and neonatal complications were not significantly different in undiagnosed GDM and non-GDM women. Except for the mother’s age, parity, and BMI, other risk factors for the development of GDM didn’t differ significantly between the two groups. Conclusions: The frequency of neonatal and maternal complications associated with the birth of macrosomic neonates are not significantly different between GDM and non-GDM mothers. Hence, the universal screening of pregnant women for GDM is not recommended.
Keywords :
Gestational Diabetes , HgbA1c , Macrosomia , Screening.
