title: Delivery room triage of large for gestational age infants of diabetic mothers.
abstract: OBJECTIVE
  To review our 4-year experience (2008-2011) with delivery room triage of large for gestational age infants of diabetic mothers.
  
  
  METHODS
  Retrospective cohort investigation of 311 large for gestational age infants of diabetic mothers (White's Class A1 (77), A2 (87), B (77), and C-R (70)).
  
  
  RESULTS
  Of 311 women, 31% delivered at 34-36 weeks gestational age and 69% at term. While 70% were delivered by cesarean, 30% were vaginal deliveries. A total of 160 asymptomatic infants were triaged from the delivery room to the well baby nursery. Of these, 55 (34%) developed hypoglycemia. In 43 cases, the hypoglycemia was corrected by early feedings; in the remaining 12, intravenous dextrose treatment was required. A total of 151 infants were triaged from the delivery room to the neonatal intensive care unit. Admission diagnoses included respiratory distress (51%), prevention of hypoglycemia (27%), prematurity (21%), and asphyxia (1%). Hypoglycemia affected 66 (44%) of all neonatal intensive care unit infants.
  
  
  CONCLUSIONS
  Safe triage of asymptomatic large for gestational age infants of diabetic mothers from the delivery room to well baby nursery can be accomplished in the majority of cases. Those infants in need of specialized care can be accurately identified and effectively treated in the neonatal intensive care unit setting.
authors.affiliation: Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA; Department of Obstetrics, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors.forename: Leandro
authors.initials: L
authors.lastname: Cordero
authors.affiliation: Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors.forename: Krista
authors.initials: K
authors.lastname: Rath
authors.affiliation: Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Zheng
authors.affiliation: Department of Obstetrics, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors.forename: Mark B
authors.initials: MB
authors.lastname: Landon
authors.affiliation: Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors.forename: Craig A
authors.initials: CA
authors.lastname: Nankervis
keywords: Delivery room; diabetic mothers; infant; large gestational age; triage