<prompt> Complications of diabetes in pregnancy Includes all exceptMacrosomiaShoulder dystociaHyperglycemia in newbornlUGR  <response>: FETAL AND NEONATAL HAZARDS Fetal Macrosomia 40-50 due to Maternal Hyperglycemia and Elevation of maternal free fatry acids. Congenital malformation6-10 Bih injuries are associated with prolonged labour and shoulder dystocia due to macrosomic baby. Growth Restriction is less commonly observed and is associated with maternal vasculopathy. Fetal Death has got multifactorial pathogenesis but the final event being hypoxia and lactic acedemia. Neonatal complications- a Hypoglycemia 35mgdL is due to Hyperinsulinemia b Respiratory Distress syndrome due to excess level of fetal insulin that blocks the action of coisol. c Hyperbilirubinemia d Polycythemia e Hypocalcemia7mgdL f Hypomagnesemia 7mgdL g Cardiomyopathy Long term effects- childhood obesity, metabolic syndrome, Neuropsychological effects and diabetes. PERINATAL MOALITY: Overall perinatal moality is increased 2-3times. Reference: DC.Duttas textbook of OBG, 9th edition, page 265 266 