A Survey of the relationship of Gestational Diabetes Mellitus on Neonate’s Apgar score

AUTHORS

Marziyeh Tavassoli 1 , Fatemeh Zarei 2 , * , Mohammad Mehdi Naghizadeh 3 , Zahra Sepahdar 2

AUTHORS INFORMATION

1 Assisstant Professor Department of Anesthesiology, Fasa University of Medical Sciences and Health Services, Fasa, Iran.

2 BSc of Anesthesiologhy the Student Research Committee, Fasa University of Medical Sciences and Health Services, Fasa, Iran.

3 MSc of Biostatistics, Fasa University of Medical Sciences and Health Services, Fasa, Iran.

ARTICLE INFORMATION

Hormozgan Medical Journal: 17 (5); e88236
Published Online: October 02, 2012
Article Type: Research Article
Received: February 08, 2012
Accepted: October 02, 2012

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Abstract

Introduction: Gestational Diabetes Mellitus (GDM) may have harmful effects on neonate
health. Since Apgar score is the first investigation indicator of neonate health, this study was
conducted to investigate the relation between GDM and neonate Apgar score.
Methods: This study is a case-control one, in which 50 neonates from mothers suffering
from GDM and 100 neonates from healthy ones born in 2005-2010 in Vali-e-Asr hospital,
Fasa, Iran, were selected randomly based on their medical file numbers. The cases were
homogeneous regarding gestational age and were compared regarding their fetal features
and apgar score in the first and fifth minutes after the birth. Then, Apgar score of the
neonates from healthy mothers and those suffering from GDM were compared by T-test.
Then using multivariate regresion, the relation between GDM and the neonate Apgar score
were investigated after omitting confounder factors effect.
Results: The average age of the mothers suffering from GDM and control group were
31.5±5.0 and 27.6±6.3 years old, respectively. Also, the average gestational age of the
former and the later were 37.9±1.6 and 38.3±1.7 weeks, respectively. Apgar score of the
first minute in the neonates of the former and the later were 8.6±0.6 and 8.7±0.7,
respectively (P=0.157). But, Apgar score of the fifth minute in the former 9.5±0.6 was
significantly lower than the later 9.8±0.4 (P=0.002). Regression analysis showed that the
difference between Apgar score of the fifth minute in both groups wasn’t affected by
confounder variables and this was just due to GDM.
Conclusion: Since Apgar score of the fifth minute in the neonates from the mothers
suffering from GDM was significantly lower than those from healthy ones and due to the
fact that apgar score indicator decrease leads to some disorders and problems in the neonates
from the mothers suffering from GDM, taking the neonates into consideration as much as
possible would be helpful in improving health level.
Key

Keywords

Gestational Diabetes - Apgar Score - Pregnancy Outcome

© 2013, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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