Glucose and Insulin Dynamics of the Mother and Infant in Normal Delivery

Year 1982, Volume: 35 Issue: 1, 41 - 62, 31.03.1982

Fadıl Ertogan

Abstract

Bu çalışma, normal doğum sırasında ve doğum sonrası erken dönemde anne ve yenidoğanın glukoz ve insülin düzeylerindeki değişimleri incelemektedir. 38 sağlıklı doğum vakasında, doğum süresi ve doğumun aktif fazı göz önünde bulundurularak çeşitli zamanlarda (travay başlangıcı, doğum anı, kordon kanı ve doğumdan 30 dakika sonra yenidoğan kanı) alınan örneklerle metabolik parametreler analiz edilmiştir. Glisemi düzeylerinde travay süresi boyunca anlamlı farklılıklar gözlemlenmiş; özellikle doğumun geç fazlarında hiperglisemi eğilimi belirlenmiştir. Buna karşın insülin düzeylerinde anlamlı bir değişiklik saptanmamıştır. Regresyon analizleri annenin glukoz seviyelerinin yenidoğan glisemi düzeyini etkilediğini göstermiştir. Bu sonuçlar, doğum süresinin ve annenin metabolik durumunun bebeğin erken dönem glukoz dengesini etkileyebileceğini vurgulamaktadır.

Keywords

anne , bebek , glukoz

Normal Doğumda Anne ve Bebeğin Glukoz ve İnsülin Dinamikleri

Abstract

This study investigates changes in maternal and neonatal glucose and insulin levels during normal delivery and the early postnatal period. In 38 healthy births, samples were taken at key time points—labor onset, time of birth, umbilical cord blood, and 30 minutes post-delivery from the newborn—to evaluate metabolic parameters with respect to labor duration and phase. Significant variations in glucose levels were observed across the labor phases, with a tendency toward hyperglycemia in prolonged labor. In contrast, insulin levels did not show significant changes. Regression analyses revealed that maternal glucose levels influenced neonatal glycemia. These findings highlight the impact of labor duration and maternal metabolic status on early neonatal glucose regulation.

Keywords

anne , bebek , glukoz

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