Symptoms of hypoglycemia in macrosomia

summary

Newborns weighing 4000 grams or more within one hour after birth can be called "macrosomia". In the 1980s, the incidence of macrosomia was only about 3%. With the rapid economic development in recent years, the material standard of living is getting higher and higher, the average birth weight of newborns began to increase, and the incidence of macrosomia is also rising, reaching 7% - 8% at the beginning of this century. In particular, the eastern coastal areas have reached 10%, and individual hospitals have reached 12.5%. Macrosomia may have adverse effects on both mother and infant. Macrosomia hypoglycemia symptoms to tell you.

Symptoms of hypoglycemia in macrosomia

1. Macrosomia whose mother has diabetes may have the following manifestations and complications: (1) asphyxia and intracranial hemorrhage: because the fetus is too large, it is easy to have dystocia and birth injury, which is the main cause of asphyxia and intracranial hemorrhage; ② Hypoglycemia: the incidence of hypoglycemia is about 58% - 75%, which is caused by the increase of insulin. Most of them are temporary; ③ Dyspnea: mainly neonatal respiratory distress syndrome, high mortality; ④ Hypocalcemia: the incidence is about 60%, which may be related to hypoparathyroidism; ⑤ Increased red blood cells: high blood viscosity, prone to intravascular coagulation, the formation of venous thrombosis. Common renal vein thrombosis, clinical hematuria and proteinuria can occur; ⑥ Hyperbilirubinemia can occur within 48 to 72 hours after birth, especially in gestational age < 36 weeks. ⑦ About 10% of them have congenital malformations.

2. In addition to hemolysis, Rh hemolytic macrosomia is prone to hypoglycemia.

3. The appearance of Beckwith syndrome macrosomia is exophthalmos, large tongue, large body with umbilical hernia, sometimes with other congenital malformations. About 50% of newborns may have temporary hypoglycemia in the early stage. The mortality of this disease is high.

matters needing attention

Pregnant women should take part in activities appropriately, and do not stay at home sitting or lying all day. At the same time, proper nutrition should be supplemented to reduce the intake of high calorie, high fat and high sugar food, so as to maintain the constant growth of body weight and fetal weight. Pay close attention to the process of fetal growth and development. When the fetus is found to grow too fast, we should go to the hospital as soon as possible to do a glucose tolerance test and nutrition consultation, and adjust the diet reasonably to avoid the occurrence of latent diabetes. At the same time, for the fetus to do a heart ultrasound examination, in order to determine whether there is congenital heart malformation, do early intervention.