Leitlinie zur Betreuung von Neugeborenen diabetischer Mütter View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-01

AUTHORS

E. Kattner, F. Maier, M. Gonser, K.T.M. Schneider, F. Kainer, T. Somville, K. Vetter, U. Schäfer-Graf, K. Schunk, M. Mandl, I. Müller-Hansen, C. Bührer

ABSTRACT

Für alle Schwangeren mit diabetischer Stoffwechsellage: Geburt in einem Krankenhaus mit neonatologischer Überwachung und der Möglichkeit einer i.v. Glukosebehandlung des Kindes ohne Verlegung in ein anderes Haus Bei prägravidem Diabetes mellitus oder Insulinbehandlung in der Schwangerschaft: Geburt in einem Zentrum mit neonatologischer Betreuung rund um die Uhr Konsequentes Anlegen/Frühfütterung (30 min nach der Geburt, danach alle 2–3 h) Obligate präprandiale Blutglukosebestimmung 2–3 h nach der Geburt und noch vor der Verlegung aus dem Kreißsaal, weitere präprandiale Messungen mit 6, 12, evtl. 24 h Liegen 3 aufeinanderfolgende Blutglukosewerte >2,5 mmol/l (45 mg/dl), kann in der Regel auf weitere Kontrollen verzichtet werden. Im gleichen Rhythmus klinische Überwachung auf Hypoglykämiesymptome durch eine Hebamme oder Pflegeperson der Mutter-Kind-Station, bei hypoglykämieverdächtigen Symptomen sofortige Blutglukosebestimmung Rasche Intervention bei Werten unter 2 mmol/l (36 mg/dl; bei asymptomatischen Kind) bzw. 2,5 mmol/l (45 mg/dl; bei symptomatischem Kind, Hypoglykämierezidiv oder nach Asphyxie) in Form von Nahrung (vorzugsweise Muttermilch, sonst hydrolysierte Formula, Maltodextrinlösung nur vorübergehend), ggf. via Magensonde; bei Werten unter 1,7 mmol/l (30 mg/dl) in der Regel zusätzlich Glukose i.v. Keine routinemäßige Testung auf Hypokalzämie, Hypomagnesiämie, Hyperbilirubinämie oder Polyglobulie, keine routinemäßige Echokardiographie Konsequente prä- und postpartale Stillförderung More... »

PAGES

57-62

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00112-010-2276-3

DOI

http://dx.doi.org/10.1007/s00112-010-2276-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1001734327


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