36例糖尿病孕妇婴儿围产期资料分析

Analysis of Perinatal Date for 36 Cases Born by Diabetic Mothers

目的 :探讨糖尿病孕妇婴儿在围产期产前、产时和产后三阶段的保健重点 ,减少围产期并发症的发生。方法 :对1998年 1月 - 1998年 12月出生的 36例糖尿病孕妇婴儿的围产期资料进行总结。结果 :77.7%糖尿病孕妇婴儿的母亲在妊娠2 8- 36周确诊为妊娠期糖尿病。 2 1例在妊娠 37- 38周终止妊娠 ,2 9例采用选择性剖宫产术分娩 ,7例阴道分娩。出生体重≥40 0 0 g10例 ,早产大于胎龄儿 1例 ,畸形 1例。无产伤 ,新生儿窒息 ,新生儿呼吸窘迫综合症及低血糖等并发症。结论 :对糖尿病孕妇早期诊断及治疗 ,适时终止妊娠 ,选择适宜的分娩方式 ,产后对新生儿严密监测及治疗 。

Object: To investigate the role of perinatal health in infant of diabetic mothers. So as to reduce the perinatal complications. Methods: To review the perinatal date of thirty-six infants born by diaetic mothers from Jan. 1998 to Dec. 1998. Results: 77.7% mothers were diagnosed as gestational diabetes at 28-36 gestational weeks. 21 cases ended their pregnacies in 37-38 weeks. 29 cases were born by cesarean sections and 7cases by vaginal deliveries. 10 cases had their birth weights>4000g and 1 cases of premature neonate had his body weight greater than that of the same gestational age. 1 case was congenital anomaly. None of them was associated with birth trauma; neonatal asphyxia; neonatal respiratory distress syndrome or hypoglycemia and so on. Conclusion: Perinatal complications would be reduced if gestational diabetes were early diagnosed and correctly treated, including ending pregnacy at appropriate time, choosing appropriate mode of delivery, and the neonate should be closely monitored and properly managed as well.