Leitlinie zur Betreuung von Neugeborenen diabetischer Mütter: Empfehlungen für die Überwachung und Behandlung

Translated title of the contribution: Guideline to neonatal care of infants born to diabetic mothers: Treatment and monitoring recommendations

E. Kattner, F. Maier, M. Gonser, K. T.M. Schneider, F. Kainer, T. Somville, K. Vetter, U. Schäfer-Graf, K. Schunk, M. Mandl, I. Müller-Hansen, C. Bührer

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

All diabetic women are advised to give birth in a hospital with a pediatric service that allows for continuous intravenous glucose administration, precluding the need for out-of-house transfer of the infant. Women with pre-pregnancy diabetes or on insulin treatment during pregnancy should give birth in a hospital offering round-the-clock neonatal care. Early (breast) feeding is of paramount importance and should be started 30 min after birth, subsequently every 2-3 h. A mandatory preprandial blood glucose measurement should be taken 2-3 h after birth and again immediately before the infant is transferred out of the delivery room; subsequent preprandial measurements at 6, 12, and possibly 24 h of age. In the event of three consecutive values of >2.5 mmol/l (45 mg/dl), further controls may be dispensed with. Simultaneously, infants should be checked for symptoms of hypoglycemia by a midwife or nurse on the maternity unit. Clinical findings suspicious for hypoglycemia should prompt immediate blood glucose determinations. Blood glucose concentrations below 2 mmol/l (36 mg/dl; in infants without symptoms) or 2.5 mmol/l (45 mg/dl; in infants with hypoglycemia-related symptoms, prior hypoglycemia, or following asphyxia) require immediate intervention in the form of feeding (preferably breast milk, otherwise hydrolyzed formula, or hydrolyzed starch solution only temporarily), by gavage if necessary. Intravenous glucose administration if blood glucose falls below 1.7 mmol/l (30 mg/dl). Routine echocardiography or laboratory tests (Ca2+, Mg2+, hematocrit, bilirubin) are not necessary unless otherwise indicated. Breast feeding should be consistently encouraged before and after delivery.

Translated title of the contributionGuideline to neonatal care of infants born to diabetic mothers: Treatment and monitoring recommendations
Original languageGerman
Pages (from-to)57-62
Number of pages6
JournalMonatsschrift fur Kinderheilkunde
Volume159
Issue number1
DOIs
StatePublished - Jan 2011

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