Anemia of Prematurity - Portal Neonatal

irth; symptoms may include jitteriness or seizure activity. Hypocalcemia (levels 90th percentile for gestational age or >4000 g in the term infant) occurs
in 15-45% of diabetic pregnancies. When present, the infant appears puffy, fat, ruddy, and
often mildly limp.
• Impaired fetal growth, secondary to poor placental blood flow, is a consequence of severe
maternal diabetics with diabetic nephropathy. Perinatal asphyxia, more common in such
infants, may be anticipated by prenatal history, thus stressing the importance of
communication between obstetrician and pediatrician.
Causes:
• HbA1C levels
o Complications caused by maternal hyperglycemia during pregnancy are reflected
by HbA1C levels, particularly during the first trimester of pregnancy.
o Because HbA1C is a direct measure of glucose control in the mother, higher levels
are predictive of increased risks for congenital complications. Thus, the incidence of
complications has been reported as 3.4% with HbA1C levels lower than 8.5% and
22.4% with levels higher than 8.5%.