Background: Diabetes is a chronic metabolic disease. It affects about 0.5 – 5% of all pregnancies, diabetes during pregnancy divided in tow pre gestational diabetes and gestational diabetes. 81% cases were gestational diabetes and 19% cases were pre gestational diabetes.

Goals: the purpose of the present study was to evaluate complication of IDM(infants of diabetic mothers) in Afghanistan.

Methods: we conducted descriptive hospital based study in IGICH(Indira Gandhi institute of child Health) during one year from june 2017 to may 2018 to assess the outcome in IDMs and association of various complication to glycemic status of mothers.

Result: 5912 patient hospitalized in neonatal department that 59 patient was Infant of diabetic mothers. These 59 patient were descriptively studied, 63% were boys and 37% were girls, among them hypoglycemia was the most commonly observed complication with frequency 60% followed by macrosomia (50%), other complications were prematurity, hypocalcemia, polycythemia, hyperbilirubinemia, respiratory distress, birth asphyxia and neonatal seizure.

Conclusions: high frequency of complication is seen in infants born to diabetic mothers. Strict glycemic control in mother and proper monitoring in babies is required to prevent morbidity and mortality in infants of diabetic mothers. 

Keywords: IDM, IGICH, macrosomia, Afghanistan

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