Abstract

The prevalence of impaired glucose tolerance in pregnancy ranges between 3 and 10% and varies according to the overall prevalence of diabetes. Cardiovascular malformations are among the most common in infant of diabetic mother and more common than in normal pregnancies. In this context, the study was conducted with objective to study neonates born to diabetes mellitus mothers to detect the spectrum of congenital heart disease (CHD) Methodology: This is a cross sectional study conducted among 30 babies born to Diabetic mothers in Trichy SRM medical college and research institute. The semi structured questionnaire was administered to obtain data. All infants underwent thorough physical examination with special attention to cardiovascular system and then pulse oximetry, X ray and Echo cardiogram was conducted. The data collected were entered in Excel and analysed using Epi info version 7 Results: Among 30 infants, 23.3% were having Congenital heart disease. 10% had clinical manifestations and one baby had saturation less than 95%. 2 babies (6.66%) had xray positive changes and 6 babies (80%) had Echo cardio graphic changes. Also poor glycemic status, poor treatment compliance and LGA were significant risk factor of CHD Conclusion: The higher prevalence of CHD in Diabetic mother suggest a need of good glycemic control and treatment compliance in mother during pregnancy. And also there is need of ECHO screening in all babies born to diabetic mothers irrespective of clinical presentation.

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