2564

PATTERN OF INFANTS OF DIABETIC MOTHERS IN ALKHADRA GENERAL HOSPITAL, TRIPOLI

Abusrewil S, Osman F, Zayat U, Ramadan E, Albarghati L, Kamaledin H.

Paediatric Endocrinology & Diabetes Dept., Tripoli Medical Center, Tripoli, Libya

During the period of 24 months (1994-1995), 436 infants of diabetic mothers were born at Alkhadra General Hospital. 127 (29%) of the diabetic mothers were having gestational diabetes, 211 (48.3%) were boys and 225 (51.7%) were girls. 374 were Term babies, 60 babies were Preterm, and only 2 babies were post-mature.

Mean birth weight was 3700 grams (range 1400-5040 grams), Mean blood sugar at zero time was 78.4mg/dl (range 0-238 mg/dl). 373 (85.5%) were asymptmatic, 62 (14.3%) were distressed, and only one baby was jittery.

Mean hospital stay was 2.5 days (range 12 hours-26 days). 76 babies (17.4%) have had hyperbilirubinaemia, out of whom 27 were pre-term babies. 4 babies had congenital heart disease.

In management, 200 (45.8%) were kept on frequent oral feed only, 132 (30%) required additive, and 104 (24.2%) intravenous dextrose was needed to keep their blood glucose within normal limits.

Infants of diabetic mothers represent respectable burden on neonatal services that so far have coped quite reasonably, yet there still good room for improvement, both from the obstetric and neonatal sides.