RISK OF NEONATAL COMPLICATIONS IN GESTATIONAL DIABETES

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We sought to determine whether neonatal complications are less frequent in gestational diabetes mellitus (GDM) than in overt maternal diabetes (DM), and whether these complications are related to degree of maternal glycemic control during pregnancy. Obstetric and diabetic management was provided at a university hospital. Maternal glycemic control was monitored with hemoglobin (Hb) A lc determinations. Neonatal complications were somewhat more frequent in the DM group than in the GDM group, but except for congenital anomalies the difference was not statistically significant. Maternal HbA lc levels ≥6 % were associated with some apparent excess of neonatal complications, again falling short of statistical significance. In conclusions, glycemic control in born GDM and DM is likely to be important in minimizing risk of neonatal complications, since occurrence rates were similarly high in GDM and DM.