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Heavy-for-Dates Babies

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Book cover Carbohydrate Metabolism in Pregnancy and the Newborn 1978

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Abstract

The delivery of a large and heavy baby has been noted to precede the development of overt diabetes for many years (Bix, 19 33; Skipper, 1933). This is now generally accepted as a characteristic feature of the pre-diabetic period. Indeed, it has been recommended that the mother of an infant weighing 4500 g or more be classified as “potentially diabetic” (WHO Expert Committee, 1965). Apart from providing a useful clue to the presence of diabetes in the mother, the high birth weight baby may be at increased risk of developing hypoglycaemia after birth. Although the prognostic implications of neonatal hypoglycaemia are controversial (Griffiths and Bryant, 1971; Milner, 1972; Senior, 1973), there is evidence that it is at times serious and even fatal (Anderson et al. , 1966). One could also conclude that some high birth weight babies at least are the result of a particularly good maternal response to pregnancy and a very favourable intrauterine environment. To distinguish between these two types is obviously worthwhile not only from the point of view of the immediate neonatal care, but also for maternal reasons.

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Authors
  1. H. W. Sutherland
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  2. B. Mary Campbell-Brown
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  3. P. M. Fisher
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  4. I. A. L. Treharne
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Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, University of Aberdeen, Maternity Hospital, Foresterhill, Aberdeen, AB9 2ZD, Great Britain

    H. W. Sutherland

  2. Diabetic Out-Patient Department, Aberdeen Royal Infirmary, Woolmanhill, Aberdeen, AB9 1GS, Great Britain

    J. M. Stowers

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© 1979 Springer-Verlag Berlin Heidelberg

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Sutherland, H.W., Mary Campbell-Brown, B., Fisher, P.M., Treharne, I.A.L. (1979). Heavy-for-Dates Babies. In: Sutherland, H.W., Stowers, J.M. (eds) Carbohydrate Metabolism in Pregnancy and the Newborn 1978. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66972-9_13

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  • DOI: https://doi.org/10.1007/978-3-642-66972-9_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-08798-4

  • Online ISBN: 978-3-642-66972-9

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