[Hypoglycemia in newborn of the diabetic mother in relation to some indicators of perinatal hypoxia]. / Wystepowanie hipoglikemii u noworodków matek z cukrzyca a wybrane wskazniki niedotlenienia okoloporodowego.

DESIGN: To examine whether perinatal hypoxia increases the risk of occurrence of hypoglycaemia--between first and second hour of life--in newborn of the diabetic mother. MATERIAL AND METHODS: The study material consisted of 151 newborns born to 58 pregestational and 93 gestational diabetes mothers. The occurrence of hypoglycaemia was examined in accordance with some perinatal hypoxia indicators such as: 1 and 5 minutes Apgar scores, umbilical arterial blood gas analysis and cord blood erythropoietin (EPO) level. RESULTS: Newborns of the diabetic mothers in whom hypoglycaemia was recognised had lower 1 minutes Apgar scores, lower pH values, higher pCO2 values and higher EPO levels than those, in whom normoglycaemia was recognised. CONCLUSIONS: Low 1 minutes Apgar scores and occurrence of even mild perinatal hypoxia are factors increasing the risk of hypoglycaemia in the group of newborns of the diabetic mothers in the time between first and second hour of life.

[Arterial blood pressure 3-8 years after EPH gestosis in mothers and their children]. / Cisnienie tetnicze krwi w 3-8 lat po przebytej gestozie EPH u matek i urodzonych przez nie dzieci.

The analysis covered 61 women with a history of EPH gestosis and 63 children born to them as well as 30 healthy women with normal arterial blood pressure during pregnancy and their 30 children aged 3-8 years. Hypertension exceeding 145/95 mm Hg was found in 26 mothers out of 61 at the moment of examination. In the other 35 patients from the EPH gestosis group arterial blood pressure was still within the norm, but diastolic blood pressure (DBP) values were significantly higher than in the control group. The values of DBP in children from mothers with EPH gestosis were higher than the values of DBP in children from the control group. However significantly higher values were observed only in children from mothers with constantly elevated blood pressure.