Abstract：
OBJECTIVE:To determine whether umbilical cord blood glucose correlates with subsequent hypoglycaemia after birth in infants of well-controlled diabetic mothers. METHODOLOGY:Thirty-eight term infants of well-controlled diabetic mothers were enrolled. Five mothers had pre-existing diabetes. Of the 33 gestational diabetic mothers, 16 were managed on insulin and 17 on diet. Maternal blood glucose was maintained between 4 and 8 mmol/L during labour and delivery. Infants' plasma glucose levels were measured from venous cord blood and serially, at less than 30 min, 1 h and 2 h of life by glucose hexokinase method. Blood glucose levels were further monitored by bedside Dextrostix for 24 h. RESULTS:Eighteen (47%) infants developed hypoglycaemia (blood glucose level less than 2 mmol/L) during the first 2 h of life. There was no difference in the cord blood glucose levels between infants with or without hypoglycaemia (3.7 +/- 1.1 vs 4.5 +/- 1.1 mmol/L, respectively). Infants of mothers with diabetes diagnosed prior to 28 weeks gestation were at a higher risk of developing hypoglycaemia (8 of 10 vs 10 of 28, OR 7.2, 95%CI 1.3-40.7). Hypoglycaemic infants were of significantly higher birthweight, and were more likely to be born to Caucasian mothers and by Caesarean section. Raised maternal fructosamine blood level, the need for insulin treatment or the infant's haematocrit were not different between infants with or without hypoglycaemia. CONCLUSIONS:In well-controlled diabetic mothers, the incidence of early hypoglycaemia in infants is still high, particularly in those mothers who had a longer duration of diabetes. Cord blood glucose level did not identify the infants with hypoglycaemia.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Agrawal RK,Lui K,Gupta JMdoi
10.1046/j.1440-1754.2000.00512.xkeywords:
subject
Has Abstractpub_date
2000-08-01 00:00:00pages
354-6issue
4eissn
1034-4810issn
1440-1754pii
jpc512journal_volume
36pub_type
杂志文章abstract：:We surveyed the directors of all 92 long day care centres in western Sydney to document the occurrence of communicable disease outbreaks during 1992 and to identify risk factors for the occurrence of these outbreaks. A total of 6092 children were enrolled at the centres, of whom 530 (8.7%) were less than 3 years old. ...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1994.tb00600.x
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abstract：:Infantile botulism classically presents with a triad of clinical features: Bulbar palsies (slow/absent pupil response) Alert Absent fever Other common features are: Constipation, ptosis and poor feeding The diagnosis is a clinical one, confirmed by EMG and by testing stool for the organism, C. botulinum, or its toxin....
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
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abstract：AIM:Fetal bowel dilatation (FBD) in the late trimester of pregnancy can be related with varies of prognosis. Our aims were to obtain antenatal factors that might have relevance for the distinct prognosis with FBD. METHODS:Seven features of 68 pregnancies presented with FBD were assessed. The best cut-off value to pred...
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abstract：AIM:To audit the clinical features and outcomes for all patients referred to our centre with concerns regarding labial appearance. METHODS:Young females referred to a paediatric/adolescent gynaecology tertiary centre between 2000 and 2012 with concerns regarding their labial appearance were retrospectively identified....
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1992.tb02658.x
更新日期：1992-06-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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doi：10.1046/j.1440-1754.2001.00621.x
更新日期：2001-04-01 00:00:00
abstract：AIM:Currently, there are no population-based or hospital-based studies on the full spectrum of paediatric head injuries (HIs) in Australia. We set out to provide detailed information on the incidence rates, causes and clinical management of all severities of HI in children and adolescents at an Australian tertiary refe...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2009.01499.x
更新日期：2009-06-01 00:00:00
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.2006.00864.x
更新日期：2006-05-01 00:00:00
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.2004.00372.x
更新日期：2004-05-01 00:00:00
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2005.00583.x
更新日期：2005-04-01 00:00:00
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journal_title：Journal of paediatrics and child health
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更新日期：2012-10-01 00:00:00
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更新日期：2010-03-01 00:00:00
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更新日期：2003-07-01 00:00:00
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更新日期：2007-11-01 00:00:00
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更新日期：2016-02-01 00:00:00
abstract：:A population of consecutively surviving very low birthweight (VLBW) infants comprising 41 infants (24 female) birthweight less than 1000 g and 108 infants (63 female) birthweight 1000-1500 g received detailed audiological evaluation. The audiological test battery comprised auditory brainstem evoked response (ABR) prio...
journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1992.tb02636.x
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abstract：:Hand-foot-and-mouth disease is a common, usually mild childhood illness caused by enteroviruses. Over the last five years, coxsackievirus A6 has been identified as a causative agent in outbreaks in Europe, South-East Asia and America. It has an atypical presentation compared with other enteroviruses, with more widespr...
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更新日期：2014-10-01 00:00:00
abstract：AIMS:A longitudinal birth cohort provides an opportunity to study the impact of childhood conditions persisting into adulthood. This study examines the cross-sectional association of asthma with sleep quality and snoring in the adolescent and young adult population and the extent to which asthma, sleep quality and snor...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
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更新日期：2016-11-01 00:00:00
abstract：:Helping parents engage in practices that are likely to prevent childhood obesity is a considerable challenge for health professionals, policy makers and researchers. The aim of the study was to determine who is likely to use services designed to help parents prevent overweight and obesity and what types of services th...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2010.01776.x
更新日期：2012-02-01 00:00:00
