Glycemic status of infants of diabetic mothers; a study at the Children’s Hospital and Institute of Child Health, Multan.

Objective: To find out the frequency of hypoglycemia among infants of diabetic mothers (IDMs) and factors affecting it. Study Design: Descriptive Cross Sectional study. Setting: Department of Neonatology, The Children’s Hospital and Institute of Child Health, Multan, Pakistan. Period: September 2019 t0 June 2020. Material & Methods: A total of 186 IDMs admitted to department of neonatology during the study period were enrolled. Bed side blood glucose (BG) was measured using “Accu Chek Performa Blood Glucose Meter” at 0, 2, 4, 6, 8, 12, 18 and 24 hours of life. All IDMs (Infants of Diabetic Mothers) were labeled either gestational diabetes mellitus (GDM) or pre GDM (pre-GDM). IDMs noted to have hypoglycemia during 1st 24 hours of life were described as hypoglycemic and others were labeled as normoglycemic IDMs. Results: Hypoglycemia was noted among 77 (41.4%) IDMs. Duration of disease was significantly more among mothers of hypoglycemic infants (27.62+28.8months vs. 19.69+24.41 months, p=0.0444). Significantly more large for gestational age (LGA) IDMs were found to be hypoglycemic in comparison to normoglycaemic ones (32.5% vs. 16.5%, p=0.0110). Among a total of 77 IDMs noted to have hypoglycemia, 34 (44.1%) were born to mothers who had GDM while remaining 43 (55.9%) were born to pre-GDM mothers. Significantly more IDMs were preterm among pre-GDM mothers when compared to GDM mothers (53.5% vs. 23.5%, p=0.0077). Conclusion: Hypoglycemia is frequent problem among IDMs. Increased duration of diabetes among mothers, LGA as well as preterm IDMs are found to have significantly increased risk of developing hypoglycemia.

Download Full-text

Incidence and Glycemic Status of Infants of Diabetic Mothers among 189 Hospitalized Low Birth Weight Babies

Delta Medical College Journal ◽

10.3329/dmcj.v5i1.31420 ◽

2017 ◽

Vol 5 (1) ◽

pp. 4-8

Author(s):

Ashith Chandra Das ◽

Md Tarek Azad ◽

Nure Ishrat Nazme ◽

Jannatul Ferdush Chowdhury ◽

Zainab Rahman ◽

...

Keyword(s):

Blood Glucose ◽

Birth Weight ◽

Low Birth Weight ◽

Blood Glucose Level ◽

Glucose Level ◽

Cross Sectional Study ◽

College Hospital ◽

Cross Sectional ◽

Infants Of Diabetic Mothers ◽

Diabetic Mothers

Background: The prevalence of gestational diabetes mellitus (GDM) is 9.7% in Bangladesh. Infants of diabetic mothers (IDM) have a significant chance to develop various complications including glucose instability.Objective: To find out the incidence of IDM among low birth weight (LBW) babies and their relation with blood glucose level during 1st 48 hours of life.Materials and method: This cross sectional study was conducted from July 2012 to June 2013 on 189 LBW babies with birth weight <2500 gram up to 1000 gram admitted within 3 hours of life in the neonatal unit of Jalalabad Ragib Rabeya Medical College Hospital, Sylhet, Bangladesh. Detailed history including maternal history of GDM was taken. Blood glucose level was done during admission and at 3 to <6 hours of age, 6 to <24 hours of age and 24-48 hours of age.Results: Among 189 cases, male baby were 136 and female baby were 53. Preterm babies were 49.2% and term babies were 50.8%. Most of the newborn babies were delivered at hospital (78.3%) and by vaginal delivery (75.1%). Among LBW babies, 5% were infants of diabetic mothers. Hypoglycemia was present in 33.3% of infants of diabetic mothers which was significantly higher than infants of non-diabetic mothers (5.6%) within 3 hours of age.Conclusion: Infants of diabetic mothers may present as LBW and may be delivered prematurely and they have high incidence of hypoglycemia during early periods of life.Delta Med Col J. Jan 2017 5(1): 4-8

Download Full-text

Retrospective Study of Postoperative Mortality at a Tertiary Children's Hospital in Iran: A Cross Sectional Study

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2021.10.051 ◽

2021 ◽

Author(s):

Mohammad Gharavifard ◽

Majid Sharifian ◽

Amir R. Reihani

Keyword(s):

Retrospective Study ◽

Postoperative Mortality ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Children's Hospital ◽

Children’S Hospital

Download Full-text

Retinopathy of prematurity screening criteria and workload implications at Tygerberg Children’s Hospital, South Africa: A cross-sectional study

South African Medical Journal ◽

10.7196/samj.2016.v106i6.10358 ◽

2016 ◽

Vol 106 (6) ◽

pp. 602 ◽

Cited By ~ 3

Author(s):

Elsime Visser Kift ◽

Nicola Freeman ◽

Colin Cook ◽

Landon Myer

Keyword(s):

South Africa ◽

Retinopathy Of Prematurity ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Screening Criteria ◽

Children's Hospital ◽

Children’S Hospital

Download Full-text

Epidemiological profile of unintentional accidents in children over a period of 4 years

E3S Web of Conferences ◽

10.1051/e3sconf/202131901007 ◽

2021 ◽

Vol 319 ◽

pp. 01007

Author(s):

Aiat Allah Skiredj ◽

Fadoua Boughaleb ◽

Loubna Aqqaoui ◽

Toualouth Lafia ◽

Assia Mouad ◽

...

Keyword(s):

Everyday Life ◽

Medical Insurance ◽

Cross Sectional Study ◽

Road Accident ◽

Unintentional Injuries ◽

Cross Sectional ◽

Children's Hospital ◽

Surgical Emergencies ◽

Children’S Hospital ◽

Epidemiological Profile

Background: Unintentional injuries are one of the most important public health problems among children in developed and some developing countries. Aim: Our purpose is to determine the prevalence of everyday life unintentional injuries among children admitted for at least 24 hours in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. Methods: A cross-sectional study of unintentional injuries in children was undertaken over 4 years (2016- 2019) in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. The data were analysed by statistical software Jamovi 1.6.23. Drownings and foreign bodies were excluded. Results: 1204 patients were screened, of which 545 files were studied. The median age was 8 years[4;12] with 36,5% were less than 6 years old, 70,4% were boys. The most injuries occurred mostly during winters and summers (41,6 vs 33,8%). The medical insurance plan was provided by compulsory medical insurance (AMO) and RAMED (Medical Assistance Scheme) (30,4% and 46.5% respectively). The main circumstances were accidents of everyday life (52%) with predominance of falls. For the public road accident, pedestrians were predominant. Hospital stay did not exceed 24 hours (73%) mainly in the surgical emergency department.

Download Full-text

Frequency of Neonatal Hypoglycemia in Large for Gestational Age Infants of Non-Diabetic Mothers in a Community Maternity Hospital

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2017.139 ◽

2006 ◽

Vol 49 (4) ◽

pp. 237-239 ◽

Cited By ~ 5

Author(s):

Nilgun Araz ◽

Mustafa Araz

Keyword(s):

Blood Glucose ◽

Gestational Age ◽

Maternity Hospital ◽

Large For Gestational Age ◽

Control Group ◽

Neonatal Hypoglycemia ◽

Glucose Levels ◽

Increased Risk ◽

Appropriate For Gestational Age ◽

Diabetic Mothers

Large for gestational age (LGA) infants are at increased risk for hypoglycemia. The aim of the study was to determine the frequency of neonatal hypoglycemia in LGA infants of non-diabetic mothers in a Community Maternity Hospital in Gaziantep, Turkey. Hospital records of 5229 infants of non-diabetic mothers were examined retrospectively. Newborns with birth weight more than 4000 g were defined as LGA. The control group consisted of 100 appropriate for gestational age (AGA) newborns. Capillary blood glucose was measured at the second hour of life. Glucose values lower than 40 mg/dL (2.2 mmol/L) were defined as hypoglycemia. Ninety-six (1.8%) of the 5229 infants were found to be LGA. The mean capillary glucose levels of the LGA newborns were significantly lower than those of the AGA newborns (54 mg/dL (3.0 mmol/L) vs. 95 mg/dL (5.2 mmol/L), p<0.0001). Neonatal hypoglycemia was established in 16 of 96 LGA infants (16.7%). In the control group hypoglycemia was absent. The rate of hypoglycemia in LGA infants was significantly higher than the rate in the AGA infants (p=0.0000). As hypoglycemia is not rare in LGA infants and can have serious consequences, blood glucose levels should be screened routinely in LGA infants.

Download Full-text

Reality and some Factors Related to Treatment Adherence in HIV/AIDS Children at Outpatient Clinic, Vietnam National Children’s Hospital

Tạp chí Nghiên Cứu Và Thực Hành Nhi Khoa ◽

10.25073/jprp.v4i5.224 ◽

2020 ◽

Vol 4 (5) ◽

Author(s):

Thi Ngoc Tran ◽

Thien Hai Do ◽

Thi Duyen Tran ◽

Le Chinh Nguyen

Keyword(s):

Treatment Compliance ◽

Cross Sectional Study ◽

Outpatient Clinics ◽

Short Treatment ◽

Cross Sectional ◽

Children's Hospital ◽

Counseling Intervention ◽

Study Results ◽

Children’S Hospital ◽

Hiv Aids

Purpose: To characterize the prevalence and factors associated with ARV adherence in HIV/AIDS-infected children at outpatient clinics, Vietnam National Children's Hospital. Methods: A cross-sectional study was conducted at outpatient clinics, Vietnam National Children's Hospital in 2019. Results: The study results showed that 63% of HIV/AIDS infected children adhered to treatment and 37% of them did not adhere to ARV. The study investigated the relevance of 11 factors and found 5 factors related to pediatric noncompliance, including a short treatment period of less than 1 year (OR: 17.1; 95% CI: 2,26-75,5 and p < 0,01); waiting time for taking drugs is too long (OR: 19.3; 95% CI: 7.9-50.9 and p < 0.01); main caregivers aged ≥ 50 (OR = 42.3; 95% CI from 17.9-120.1 and p < 0.01. Conclusions: The prevalence of ARV adherence in HIV/AIDS-infected children was 63%. Counseling intervention models to improve drug treatment compliance should be concentrated on newly infected children, treatment duration less than 1 year and their primary caregivers over 50 years old.

Download Full-text

Relationship between Umbilical Cord C-peptide and Risk of Hypoglycemia in Infants of Diabetic Mothers

Bangladesh Journal of Child Health ◽

10.3329/bjch.v36i2.13082 ◽

2012 ◽

Vol 36 (2) ◽

pp. 71-75

Author(s):

Mst Nurun Nahar Begum ◽

M Quamrul Hassan ◽

Kishwar Azad

Keyword(s):

Blood Glucose ◽

Child Health ◽

Umbilical Cord ◽

Clinical Characteristics ◽

C Peptide ◽

Infants Of Diabetic Mothers ◽

Significant Difference ◽

Peptide Level ◽

The Relationship ◽

Diabetic Mothers

Objective: To examine the relationship between umbilical cord C-peptide and risk of hypoglycemia in infants of diabetic mothers. Method: Sixty neonates born to diabetic mothers were studied in BIRDEM hospital. Thirty infants who developed hypoglycemia at any time during the first 24 hours of age were considered as cases. Another 30 infants who did not develop hypoglycemia during the first 24 hours were considered as controls. Umbilical cord C-peptide levels were measured in both groups. All babies were screened for hypoglycemia at 4, 6, 8, 12, 18 and 24 hours of life. Blood glucose value of less than 2.6 mmol/l was considered as hypoglycemia. Results: Clinical characteristics of cases and controls and their mothers did not show any significant difference. In 73.3% of cases hypoglycemia was detected by 6 hours of age. Most babies were asymptomatic (93.3%). It was found that IDMs who developed hypoglycemia had significantly higher cord C-peptide level at birth compared to those who remained normoglycemic (4.57±2.50 vs. 2.81± 2.11 ng/ml, P= 0.005). That means, there is significant association between raised level of cord C-peptide and hypoglycemia in IDMs. Conclusion: Hypoglycemia in infants of diabetic mothers associated with raised cord blood C-peptide levels. DOI: http://dx.doi.org/10.3329/bjch.v36i2.13082 Bangladesh J Child Health 2012; Vol 36 (2): 71-75

Download Full-text

Clinical and paraclinical characteristics of Chlamydia trachomatis pneumonia in infants less than 6 months of age at National Children’s Hospital

Tạp chí Nghiên Cứu Và Thực Hành Nhi Khoa ◽

10.25073/jprp.v4i3.190 ◽

2020 ◽

Vol 4 (3) ◽

Author(s):

Hien Pham Thu

Keyword(s):

Chlamydia Trachomatis ◽

Clinical Manifestations ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Children's Hospital ◽

Persistent Cough ◽

Children’S Hospital ◽

History Of ◽

Eosinophil Counts

SUMMARY Objectives: The study aim was to describe clinical and paraclinical characteristics of Chlamydia trachomatis pneumonia in children under 6 months of age at National Children’s Hospital. Methods: This cross-sectional study included 71 cases of C. trachomatis pneumonia in Respiratory Department, National Children’s Hospital between 1 September 2017 and 31 August 2018. Results: Important features of C. trachomatis pneumonia in children under 6 months of age include persistent cough, nasopharyngitis, conjunctivitis, history of vaginal birth, mother’s history of vaginosis during pregnancy. Absolute eosinophil counts greater than 300/mm3 may suggest C. trachomatis pneumonia. Conclusion: Clinical manifestations of pneumonia due to C. trachomatis pneumonia are persistent cough, nasopharyngitis, conjunctivitis, mother’s history of vaginosis during pregnancy. A higher than 300 eosinophils/mm3 is strongly associated with C. trachomatis pneumonia.

Download Full-text