title: Developmental considerations in working with newborn infants of mothers with diabetes.
abstract: Infants of diabetic mothers (IDMs) are at risk for an altered developmental course beginning with physiologic alterations in utero. This article describes physiologic and behavioral factors that impact the fetus and newborn infant and may have long-term developmental consequences. A clinical reasoning process to support development optimizes the outcomes of IDMs while in the NICU. Specific interventions are suggested.
authors.affiliation: St. Luke's Rehabilitation Institute, Spokane, Washington, USA. millerm@st-lukes.org
authors.forename: Margaret Quist
authors.initials: MQ
authors.lastname: Miller
authors.forename: Lizbeth Ann
authors.initials: LA
authors.lastname: Morris
mesh_terms: D000328:Adult; D016241:Child of Impaired Parents; D002658:Developmental Disabilities / Q000451:nursing* / Q000517:prevention & control; D016640:Diabetes, Gestational / Q000451:nursing* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration; D008297:Male; D017283:Neonatal Nursing / Q000379:methods; D015997:Neonatal Screening / Q000451:nursing*; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000451:nursing* / Q000503:physiopathology*; D011297:Prenatal Exposure Delayed Effects / Q000451:nursing*; D012307:Risk Factors; D055815:Young Adult