Objective. To assess influence of the educational level of mothers with diabetes mellitus type 1 (T1DM) on neonatal outcomes and complications in newborns.
Materials and methods. A retrospective study was carried out among 430 children from mothers with T1DM born in 2015—2020 in Mother and Child RRPC. Taking into account the education level of T1DM mothers, the newborns were divided into
3 observation groups, the characteristics of the course of pregnancy, perinatal outcomes and the condition of infants during the neonatal period were analyzed. Group 1 consisted of 70 children from mothers with low education, Group 2 included 204 babies from mothers with intermediate education, Group 3 was formed of 156 babies from women with higher education.
Results. The educational level of a T1DM mother is an important factor associated with some adverse neonatal outcomes. T1DM women having higher education have a significantly lower probability of premature labor (p=0.009) and antenatal fetal death (p=0.029) compared to mothers having low education. Babies born by T1DM mothers having low education had
a statistically significantly higher risk of prematurity (RR=1.62, 95% CI 1.13—2.31, c2=6.46, р=0.011 and RR=1.53, 95% CI 1.06—2.22, c2=4.84, р=0.028, respectively), risk of need in mechanical ventilation on the 5th minute of life due to respiratory distress syndrome and a low Apgar score (RR=1.54, 95% CI 1.04—2.28, c2=4.30, р=0.038 and RR=1.62, 95% CI 1.06—2.47, c2=4.78, р=0.029) and risk of neonatal hypoglycemia (RR=1.48, 95% CI 1.08—2.05 and RR=2.13, 95% CI 1.45—3.13) compared with the babies born by women with intermediate education or with higher education. The mother’s education level did not affect the frequency of bearing large or small for the gestational age newborns, babies with extremely large body weight. The glycated hemoglobin levels during pregnancy were shown to effect the anthropometric indicators of newborns.
Conclusion. The present study established the influence of mother’s educational status on some neonatal outcomes in babies born by T1DM mothers.Ключевые слова:
Автор(ы): V. A. Prylutskaya, A. V. Sukalo, I. V. Kurlovich, T. N. Skryplionak, Y. A. Shyshko