SYMPATHO-ADRENAL ACTIVITY AND METABOLIC ADJUSTMENT DURING THE 1ST 12 HOURS AFTER BIRTH IN INFANTS OF DIABETIC MOTHERS

被引:9
作者
BROBERGER, U
HANSSON, U
LAGERCRANTZ, H
PERSSON, B
机构
[1] ST GORANS HOSP, DEPT PAEDIAT, S-11281 STOCKHOLM, SWEDEN
[2] KAROLINSKA HOSP, DEPT OBSTET & GYNECOL, S-10401 STOCKHOLM, SWEDEN
来源
ACTA PAEDIATRICA SCANDINAVICA | 1984年 / 73卷 / 05期
关键词
D O I
10.1111/j.1651-2227.1984.tb09985.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Plasma adrenaline [epinephrine] and noradrenaline [norepinephrine] concentrations at birth were the same in infants of diabetic mothers and controls after both vaginal and abdominal delivery. The infants delivered vaginally had significantly higher noradrenaline concentrations than those delivered by cesarean section. During the 1st 12 postnatal h, the concentration of noradrenaline decreased to levels similar to those found in newborn infants with minor respiratory problems. No hypoglycemic values were recorded in infants of diabetic mothers at birth nor during the first 12 h after birth. The C-peptide concentrations at birth were significantly lower in infants of diabetic mothers delivered vaginally as compared to those delivered by cesarean section. The FFA [free fatty acid] concentrations increased after birth, possibly as a result of the lipolytic action of catecholamines released during labor and delivery. The increased sympatho-adrenal activity previously reported in infants of diabetic mothers was not confirmed. The difference apparently is due to better metabolic control in the diabetic mothers during pregnancy and delivery in this study.
引用
收藏
页码:620 / 625
页数:6
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