Baby R came out screaming and was given APGAR scores of 8/9 and was taken to the NICU to be assessed. The pediatric cardiologist, Dr. Balfour was called to assess the baby and an echo cardiogram was performed. It was confirmed that Baby R. does have Tetralogy of Follet and will require surgery.
Plans were made for Baby R. to be transferred to CHOA for surgery.
Plans were made for Baby R. to be transferred to CHOA for surgery.
PICO:
Do babies born to mother's with DM have an increased risk for congenital heart defects as compared to babies born to mother's who do not have DM?
According to a survey of 100 infants born to IDDM mothers by Abu-Sulaiman and Subaih, congenital heart defects are 3.2 higher than if maternal diabetes were not present. They estimate that 150 out of every 1,000 births by diabetic mothers will have some form of cardiac defect (2004).
A second study by Gilboa et al., looked at the mother's pre-pregnancy BMI as an indicator of pregestational diabetes mellitus and found that there is some link between severe obesity congenital heard defects, but not with moderate obesity (2010). The researchers discuss the fact that is has already been demonstrated that overweight status and obesity are risk factors for gestational diabetes. Using this information, they explain that the increased risk of CHDs in the severely obese group, might be contributed to undiagnosed prepregnancy diabetes mellitus (Gilboa et al., 2010).
So, the research does indicate that babies born to mother's with DM have an increased risk of congenital heart defects.
Abu-Sulaiman, R. M., & Subaih, B. B. (2004). Congenital Heart Disease in Infants of Diabetic Mothers: Echocardiographic Study. Pediatric Cardiology, 25(2), 137-140. doi:10.1007/s00246-003-0538-8
Gilboa, S., Correa, A., Botto, L., Rasmussen, S., Waller, D., Hobbs, C., & ... Riehle-Colarusso, T. (2010). Association between prepregnancy body mass index and congenital heart defects. American Journal Of Obstetrics & Gynecology, 202(1), 51.e1-51.e10. doi:10.1016/j.ajog.2009.08.005
Do babies born to mother's with DM have an increased risk for congenital heart defects as compared to babies born to mother's who do not have DM?
According to a survey of 100 infants born to IDDM mothers by Abu-Sulaiman and Subaih, congenital heart defects are 3.2 higher than if maternal diabetes were not present. They estimate that 150 out of every 1,000 births by diabetic mothers will have some form of cardiac defect (2004).
A second study by Gilboa et al., looked at the mother's pre-pregnancy BMI as an indicator of pregestational diabetes mellitus and found that there is some link between severe obesity congenital heard defects, but not with moderate obesity (2010). The researchers discuss the fact that is has already been demonstrated that overweight status and obesity are risk factors for gestational diabetes. Using this information, they explain that the increased risk of CHDs in the severely obese group, might be contributed to undiagnosed prepregnancy diabetes mellitus (Gilboa et al., 2010).
So, the research does indicate that babies born to mother's with DM have an increased risk of congenital heart defects.
Abu-Sulaiman, R. M., & Subaih, B. B. (2004). Congenital Heart Disease in Infants of Diabetic Mothers: Echocardiographic Study. Pediatric Cardiology, 25(2), 137-140. doi:10.1007/s00246-003-0538-8
Gilboa, S., Correa, A., Botto, L., Rasmussen, S., Waller, D., Hobbs, C., & ... Riehle-Colarusso, T. (2010). Association between prepregnancy body mass index and congenital heart defects. American Journal Of Obstetrics & Gynecology, 202(1), 51.e1-51.e10. doi:10.1016/j.ajog.2009.08.005
