Gestational Diabetes Effects on Baby

Some women have a level blood sugar level (glucose) are high throughout her pregnancy. But whether this will affect the baby to be born?
Gestational Diabetes Effects on Baby
Gestational Diabetes Effects on Baby

 


High blood sugar levels in pregnant women can affect the baby after birth.


Babies born to mothers with diabetes are often born with size larger than other babies. Internal organs such as the liver, adrenal glands, and the heart tends to dilate.

Babies like this usually will experience a period where their low blood sugar levels (hypoglycemia) shortly after birth, due to increased levels of insulin in their blood. Insulin is a substance that moves sugar (glucose) from the blood into the tissues of the body. Baby blood sugar levels need to be monitored within the first hour after birth 12-24.

A Mother with a less controlled diabetes are also more likely to experience a miscarriage or birth of their baby but already in a State does not animate. The process of birth is usually difficult if the baby's size large. This may increase the risk of injury and other trauma brachial artery Plexus during childbirth.

If the mother is already suffering from diabetes before the time of her pregnancy, then her baby has an increased risk of birth defects if the mother diabetes not controlled properly.

Symptoms


• Skin color or blue speckled
• Rapid heart rate, rapid breathing (signs of lung or heart failure is not yet perfect)
• Baby's skin yellow
• Do not eat or poor appetite
• Lethargic, weak cry (signs of severe low blood sugar)
• Face swells
• Skin redness
• Shaking shortly after birth


Examination


Before the baby is born:
• ULTRASOUND on mother done the last few months of pregnancy to assess the development of the baby that the results would indicate that the baby is sufficiently large for gestational age.
• Lung maturity Test can be performed on amniotic fluid, if the baby will be born more than 2 weeks before the due date.
After the baby is born:
• The test can indicate whether babies have low blood sugar levels and low blood calcium.
• Can an Echocardiogram showed cardiomegaly condition that is abnormal, which can be coupled with heart failure.


Treatment


All infants born to mothers who have diabetes should be tested to detect symptoms of low blood sugar (hypoglycemia), even if they showed no symptoms. If a baby shows one of the symptoms of low blood sugar, a test can be done for a few days. The test will continue until the baby can return blood sugar stable while still being given BREAST MILK normally.


In some mild cases, breastfeeding after birth can be effective to prevent low blood sugar. Low blood sugar levels that are not back to normal quickly can be treated by administering sugar (glucose) and water provided through nadi.

Rare cases is when the baby may need help breathing or drugs to treat diabetes effects the other. High bilirubin levels are treated with light therapy (phototherapy). In addition, in the case who is also rare, the baby's blood is replaced with blood from a donor (Exchange transfusion) to deal with this problem.

Often, the symptoms of which occur in infants will be gone in a few weeks. However, if the condition of their heart is enlarged, it will probably need a few months to get rid of.
Possible complications
• Congenital heart defect
• Heart failure
• High bilirubin Levels (hiperbilirubinemia), which can cause permanent brain damage if not treated
• Lung function has not been perfect
• Neonatal polisitemia (more red blood cells than normal) that can cause a blockage in the blood vessels or hiperbilirubinemia
• Acute low blood sugar that can lead to permanent brain damage
• Small left colon Syndrome that can cause intestinal blockage symptoms
• Died at birth

When to call the doctor?


If you are pregnant and get a pregnancy care regularly, routine tests will show that you are sick/showed symptoms of diabetes gestational.

If you are pregnant and have uncontrolled diabetes, immediately contact your doctor.

If you are pregnant and not getting prenatal care, call your health care provider to conduct discussions. You can also contact the Department of Health to ask for instructions on how to obtain prenatal care that assisted countries.

Prevention


Women who have diabetes requires special care during pregnancy to prevent the onset of complications. Control blood sugar and diagnose gestational diabetes early can prevent the occurrence of various problems.

Lung health tests can help prevent respiratory complications that can occur if the baby was born a week earlier than the estimated birth date doctor.


Be careful in monitoring the baby in the first hour after birth can prevent the onset of complications due to low blood sugar. Monitoring and treatment in the first few days can prevent complications due to high bilirubin levels.

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