European Journal of Molecular & Clinical Medicine

Background –An observational study has been conducted in nicu department of Paediatrics IMRCRC INDORE, MADHYA PRADESH .The incidence of diabetes in pregnancy is steadily rising, likely in parallel with the rising incidence of obesity among women of reproductive age. Women with diabetes are at increased risk for fetal complications (such as congenital malformations, fetal growth abnormalities, and stillbirth) and perinatal/neonatal complications (such as prematurity, respiratory distress, and metabolic abnormalities including hypoglycemia and electrolyte derangements).
 
Materials and methods –23 infants born to diabetic mothers are included in the study. Screening of gestational diabetes done by-,history, oral glucose tolerance test, HbA1C.
 
Outcome - Poor early glycemic control of mother during antenatal period correlates with adverse maternal and neonatal outcomes including preeclampsia, macrosomia, fetal congenital anomalies, prematurity, and perinatal mortality
 
Result –23 infants were studied. Hypoglycemia(40%) being the most common complicationfollowed by hyperbilirubinemia(28%),polycythemia(12%), respiratory distress (26%), macrosomia (28%), cardiac anomalies {septal hypertrophy (21%), PDA (17%), VSD(8%)} ; cleft palate (4%), undescended testis (8%).
 
Conclusion -In this study, we found that metabolic and structural complications were more in the infants of diabetic mother with uncontrolled hyperglycemia . Monitoring glucose control and glycosylated hemoglobin (Hba1C) levels is very important to improve maternal and neonatal outcomes. The risk of neonatal morbidity is directly proportional to the hyperglycemia. Strict glucose monitoring is essential to detect asymptomatic hypoglycemia of neonate.

Abstract: Background – Normally, women who had undergone normal delivery will
remain in the hospital for at least two days and who had undergone cesarean section for
five to six days. An accurate and exact care is very important for the mother who is
recovering from the ailments of pregnancy and delivery and also for the health of the
newborn. Anything can be happen in the postnatal period. in order to avoid any unwanted
occurrence or complications, essential care for mother and baby is a must. Objectives: 1)
To assess the perception of postnatal mothers regarding received Nursing care, 2) To
associate the level of perception with selected demographic variables. Materials and
methods: Survey research approach and descriptive study design was used in the study.
The study was conducted at A.V.B.R Hospital Sawangi Meghe, Wardha. 100 post natal
mothers who had undergone cesarean section were selected for the study. Non-probability
convenience sampling was used for the selection of the samples. Result: Each 50% of the
postnatal mothers were moderately and fully satisfied with the nursing care received and
none of the selected demographic variables were associated with level of perception
regarding nursing care received. Conclusion: Mothers who had undergone cesarean
section in AVBR hospital were satisfied with the nursing care provided.

Intrauterine growth retardation is an important problem in pediatrics, as it is an integral indicator of intrauterine dysfunction.
Purpose: to study the features of the clinical and functional state of the cardiovascular system in newborn children born with various types of intrauterine growth retardation.
Material and research methods: 70 newborns were examined. All children were divided into 2 groups: the 1st (main) amounted to 50 newborns with IUGR, of which: 1a - with the symmetric version of IUGR - 25, 1b - with the asymmetric version of IUGR - 25 children, in the 2nd group (comparisons) 20 premature infants without IUGR were included. All newborns underwent an echocardiographic examination of the heart.
Results: on the basis of clinical and instrumental studies, the features of the clinical and functional state of the cardiovascular system in newborn children born with various types of intrauterine growth retardation are presented. In children who had different types of intrauterine growth retardation, significantly significant features of cardiac activity and morphological and hemodynamic parameters of the heart at birth were proved. Children with a symmetric variant of IUGR are characterized by a slowed heart rhythm, which was recorded significantly more often than in children with a symmetric variant of IUGR.