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Diabetic mothers and their newborn infants - rooming-in and neonatal morbidity.
Acta Paediatr. 2010 Jul; 99(7):997-9.AP

Abstract

AIM

As a result of increased neonatal morbidity, the infants of diabetic mothers have routinely been admitted to a neonatal special care unit (NSCU). We therefore investigated whether the offer of rooming-in diabetic mothers and their newborn infants has an effect on neonatal morbidity.

METHODS

The records of an old cohort of 103 infants routinely admitted to the NSCU, and a new cohort (N = 102), offered rooming-in were assessed for neonatal morbidity.

RESULTS

Eighty-four (82%) of the new cohort infants followed their mothers to the maternity ward; whereas 19 (18%) were transferred to the NSCU chiefly because of prematurity. Ten infants were later transferred to the NSCU for minor problems. Neonatal morbidity and neonatal hypoglycaemia were significantly less common in the new cohort than in the old cohort [27 (26%) vs. 55 (54%), p < 0.001 and 42 (41%) vs. 64 (63%), p = 0.0027 respectively]. Maternal HbA1c in late pregnancy was significantly lower in the new cohort, but the only independent predictors of neonatal morbidity were belonging to the old cohort and preterm delivery.

CONCLUSION

Neonatal care with rooming-in mothers with type 1 diabetes and their newborn infants seems safe and is associated with reduced neonatal morbidity, when compared with routine separation of infants from their mothers.

Authors+Show Affiliations

Center for Pregnant Women with Diabetes, Department of Obstetrics, Rigshospitalet, Copenhagen, Denmark. edna.stage@rh.regionh.dkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20346077

Citation

Stage, E, et al. "Diabetic Mothers and Their Newborn Infants - Rooming-in and Neonatal Morbidity." Acta Paediatrica (Oslo, Norway : 1992), vol. 99, no. 7, 2010, pp. 997-9.
Stage E, Mathiesen ER, Emmersen PB, et al. Diabetic mothers and their newborn infants - rooming-in and neonatal morbidity. Acta Paediatr. 2010;99(7):997-9.
Stage, E., Mathiesen, E. R., Emmersen, P. B., Greisen, G., & Damm, P. (2010). Diabetic mothers and their newborn infants - rooming-in and neonatal morbidity. Acta Paediatrica (Oslo, Norway : 1992), 99(7), 997-9. https://doi.org/10.1111/j.1651-2227.2010.01779.x
Stage E, et al. Diabetic Mothers and Their Newborn Infants - Rooming-in and Neonatal Morbidity. Acta Paediatr. 2010;99(7):997-9. PubMed PMID: 20346077.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diabetic mothers and their newborn infants - rooming-in and neonatal morbidity. AU - Stage,E, AU - Mathiesen,E R, AU - Emmersen,P B, AU - Greisen,G, AU - Damm,P, Y1 - 2010/02/23/ PY - 2010/3/30/entrez PY - 2010/3/30/pubmed PY - 2010/8/5/medline SP - 997 EP - 9 JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr VL - 99 IS - 7 N2 - AIM: As a result of increased neonatal morbidity, the infants of diabetic mothers have routinely been admitted to a neonatal special care unit (NSCU). We therefore investigated whether the offer of rooming-in diabetic mothers and their newborn infants has an effect on neonatal morbidity. METHODS: The records of an old cohort of 103 infants routinely admitted to the NSCU, and a new cohort (N = 102), offered rooming-in were assessed for neonatal morbidity. RESULTS: Eighty-four (82%) of the new cohort infants followed their mothers to the maternity ward; whereas 19 (18%) were transferred to the NSCU chiefly because of prematurity. Ten infants were later transferred to the NSCU for minor problems. Neonatal morbidity and neonatal hypoglycaemia were significantly less common in the new cohort than in the old cohort [27 (26%) vs. 55 (54%), p < 0.001 and 42 (41%) vs. 64 (63%), p = 0.0027 respectively]. Maternal HbA1c in late pregnancy was significantly lower in the new cohort, but the only independent predictors of neonatal morbidity were belonging to the old cohort and preterm delivery. CONCLUSION: Neonatal care with rooming-in mothers with type 1 diabetes and their newborn infants seems safe and is associated with reduced neonatal morbidity, when compared with routine separation of infants from their mothers. SN - 1651-2227 UR - https://www.unboundmedicine.com/medline/citation/20346077/Diabetic_mothers_and_their_newborn_infants___rooming_in_and_neonatal_morbidity_ L2 - https://doi.org/10.1111/j.1651-2227.2010.01779.x DB - PRIME DP - Unbound Medicine ER -