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What 2 groups of causes ought to be considered should an IDM present with respiratory distress?
1. Respiratory distress from surfactant insufficiency
2. Cardiovascular problems
1. Name 3 of the most important fetal heart structural defects in IDMs.
2. What is the prevalence of these defects among IDM's?
3. How does maintaining good material diabetes control affect this?
1. Most important defects
a. VSD
b. Transposition of the great arteries
c. Aortic stenosis
2. 5%
3. Oddly, maintaining normal maternal HgbA1c values does not affect the incidence.
1. What is the incidence of hypertrophic cardiomyopathy among IDMs by echocardiography?
2. What is the incidence using symptoms alone?
1. 30%
2. 12%
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