Infant of Diabetic Mother

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Infant of Diabetic Mother

1. Can be Still birth

2. Can be Preterm , IUGR

3. Macrosomia

4. HMD

5. Neonatal Jaundice

6. Hypo Glycemia/Calcemia/Magnesemia

7. Polycythemia - Renal vein thrombosis

8. Lazy left colon syndrome (pseudo-obstruction of intestine - hypoperistaltic)

9. Heart diseases -

• MC - TGA (also MC congenital anomaly in Infant of diabetic mother)
• Asymmetrical Septal Hypertrophy
• Cardiomyopathy
• Persistent pulmonary HTN

 Important points : 

• MC congenital anomaly in Still borns of diabetic mother - Neural tube defects

• MC congenital anomaly in Infants of diabetic mother - TGA

• Most Specific anomaly in Infants of diabetic mother  - Sacral Agenesis

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 Other Points to remember : 

• MC sign of Acute Hypoxia in Neonates : Bradycardia

• IOC to look for cerebral perfusion in birth asphyxiated newborn :  ( NIRS ) Near-infrared spectroscopy.

• Earliest and Most Common organ affected in Birth Asphyxia : Kidneys (ATN-Acute tubular necrosis) , later Brain (HIE - Hypoxic ischemic encephalopathy). 

• MC cause of Renal failure in Newborn - Birth Asphyxia.

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