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Computerized cardiotocography in singleton gestations with diabetes mellitus: a retrospective study
Elisabetta Gragnano1, Gabriele Saccone2, Salvatore Tagliaferri2
1Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy - elisabettagragnano@gmail.com.
Minerva Obstetrics and Gynecology
|June 7, 2021
Summary
Computerized cardiotocography (C-CTG) monitoring revealed higher fetal heart rates in pregnant women with pre-pregnancy diabetes. Short-term variability (STV) and other parameters were lower in type 1 diabetes pregnancies compared to other groups.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Diabetology
Background:
- Diabetes mellitus in pregnancy poses risks to fetal well-being.
- Accurate fetal monitoring is crucial for managing pregnancies complicated by diabetes.
Purpose of the Study:
- To evaluate the utility of computerized cardiotocography (C-CTG) for antenatal monitoring in women with diabetes mellitus.
- To compare C-CTG parameters across different diabetes types and a control group.
Main Methods:
- Retrospective cohort study of 298 pregnant women (January 2018 - January 2020).
- Included women with type 1 diabetes, type 2 diabetes, gestational diabetes mellitus (GDM), and a control group.
- Analyzed C-CTG data, focusing on short-term variability (STV), APRS, and DPRS.
Main Results:
- Fetal heart rate was significantly higher in women with pre-pregnancy diabetes (Type 1 and Type 2) versus GDM and controls.
- STV, APRS, and DPRS were significantly lower in women with Type 1 diabetes compared to Type 2, GDM, and control groups.
Conclusions:
- Pre-pregnancy diabetes (Type 1 and Type 2) is associated with elevated fetal heart rates.
- Reduced STV, APRS, and DPRS in Type 1 diabetes pregnancies suggest potential differences in fetal response to maternal diabetes.
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