Perinatal morbidity and mortality are well known to be higher in macrosomatic neonates, whose birthweight is 4000 g or more. 398 mothers of such macrosomatic infants and 7314 mothers of infants of normal weight were retrospectively reviewed for factors possibly influencing fetal weight. The following items were found to be statistically more frequent or predominant in the study group than in the controls: preconceptional obesity, weight gain of more than 20% during pregnancy, multiparae with an history of macrosomatic infants. Gestation-diabetes (prediabetes) and a family history of diabetes mellitus were observed rarely and did not seem to be of great significance.
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Ned Tijdschr Geneeskd
January 2004
Afd. Metabole & Endocriene Ziekten, Universitair Medisch Centrum St Radboud, Universitair Kinderziekenhuis, Postbus 9101, 6500 HB Nijmegen.
Objective: To report on a retrospective study into the diagnostics and treatment of infants with congenital hyperinsulinism (CHI; persistent hyperinsulinemic hypoglycaemia).
Design: Retrospective and descriptive.
Method: The study included all 15 patients diagnosed with CHI at the St Radboud University Medical Centre, the Netherlands, from 1981 until 1999.
Acta Med Croatica
March 2003
Division of Gestational Pathology, Department of Gynecology and Obstetrics, Osijek University Hospital, Huttlerova 4, 31000 Osijek, Croatia.
Shoulder dystocia is an unpredictable obstetric complication with the incidence of 0.15% to 2%. An increase in the incidence of shoulder dystocia has been recorded over the last 20 years, probably just because it has now been regularly registered at maternity wards as an obstetric complication.
View Article and Find Full Text PDFActa Paediatr
August 1993
Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence.
A kindred with familial neonatal hyperinsulinemia is described. Infant A was macrosomatic and stillborn. Infant B was macrosomatic at birth following a pregnancy uncomplicated by maternal diabetes.
View Article and Find Full Text PDFAn Esp Pediatr
July 1993
Departamento de Pediatría, Universidad del País Vasco, Hospital de Cruces, Baracaldo.
Forty-six newborn babies (11 macrosomic, 11 small-for-dates and 24 of normal weight) have been prospectively studied. The levels of C-peptide in the umbilical blood were determined and the results were statistically analyzed for relationships to several perinatal variables of the mother, newborn and placenta. A positive correlation between C-peptide levels and neonatal weight, newborn ponderal index and maternal weight-gain during gestation were observed.
View Article and Find Full Text PDFDiabete Metab
July 1993
Department of Pediatrics, University of Greifswald, Germany.
In the past decade, malformation rates and life-threatening neonatal disorders of infants of diabetic mothers have been lowered to a marked degree. However, the remaining neonatal morbidity (metabolic and functional abnormalities and macrosomia) is still rather high. The meaning of these signs and symptoms for the further somatic development is unclear.
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