in an Infant of a Diabetic Mother

We present a case of neonatal hypertrophic cardiomy-opathy associated with maternal diabetes mellitus, which was not identified in utero with ultrasonography immediately prior to delivery, yet caused profound neonatal complications immediately following delivery. The perinatal presentation of diabetic hypertrophic cardiomyopathy has not been previously reported. The patient was initially referred to our facility for prenatal management of adult onset diabetes mellitus. Difficul-ties in maintaining blood sugar stability were encoun-tered throughout gestation. Ultrasonographic examina-tions at 18 and 22 weeks showed no anomalies of the fetus, nor was abnormal amniotic fluid observed. Follow-up examination at 27 weeks showed an excess of amniotic fluid. At 31 and 32 weeks gestation, feta