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Glycemic control and fetal abdominal circumference
S Gopinath1, G Varalakshmi, K Manoj
1Pondicherry Speciality Centre, Pondicherry, India.
Insights
Gestational diabetes (GDM) impacts fetal growth. Poor glycemic control in GDM correlates with increased fetal abdominal circumference and higher birth weight, highlighting risks for newborns.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Perinatology
Background:
- Gestational diabetes mellitus (GDM) affects maternal and fetal health.
- Monitoring fetal growth is crucial in GDM pregnancies.
- Glycemic control is a key factor in managing GDM.
Purpose of the Study:
- To investigate the correlation between glycemic status and fetal abdominal circumference in GDM patients.
- To examine the relationship between fetal abdominal circumference and birth weight in GDM.
- To understand the impact of glycemic control on fetal development in GDM.
Main Methods:
- Study included 75 women with gestational diabetes mellitus (GDM).
- Assessed anthropometry and glycemic profiles (HbA1C).
- Measured fetal abdominal circumference via ultrasound and recorded birth weight post-delivery.
Main Results:
- Fetal abdominal circumference showed a significant correlation with glycemic control.
- Increased fetal abdominal circumference was associated with higher fetal birth weight.
- Fluctuating glycemic levels in GDM patients were linked to these findings.
Conclusions:
- Glycemic status is closely linked to fetal abdominal circumference and birth weight in GDM.
- Monitoring fetal abdominal circumference can aid in assessing risks associated with GDM.
- Effective glycemic management is essential to mitigate adverse fetal outcomes in GDM.
Aim:
To study about the correlation between the glycemic status and increase in fetal abdominal circumference in gestational diabetes patients and its relationship with fetal birth weight.
Materials And Methods:
Seventy-five gestational diabetes mellitus (GDM) patients were taken up for study with duly informed consent and suggested for anthropometry profile and glycemic profile with HbA1C. Fetal abdominal circumference was measured during routine scans. The patients were followed up till delivery and the fetal birth was noted.
Inclusion Criteria:
Seventy-five gestational diabetic mothers who have attended a secondary level diabetic clinic and on regular follow-up were included in the study.
Exclusion Criteria:
Pre-GDM mothers, patients with co-morbid disease were excluded from the study.
Expected Results:
Fetal abdominal circumference correlated well with fluctuating glycemic control and fetal birth weight.
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