Hüseyin Aksoy1, Ülkü Aksoy2, Burak Yücel3, Sezin Saygi Özyurt4, Turgut Aydın3, Mustafa Alparslan Babayiğit5. 1. a Department of Obstetrics and Gynecology , Military Hospital , Kayseri , Turkey . 2. b Department of Obstetrics and Gynecology , Memorial Hospital , Kayseri , Turkey . 3. c Department of Obstetrics and Gynecology , Acıbadem Hospital , Kayseri , Turkey . 4. d Department of Obstetrics and Gynecology , Education and Research Hospital of Medicine , Kayseri , Turkey , and. 5. e Department of Public Health and Epidemiology , Gülhane Military Faculty of Medicine , Ankara , Turkey.
Abstract
OBJECTIVE: The aim of the study was to investigate standard biometric measurements, such as biparietal diameter (BPD), femur length (FL), abdominal circumference (AC), estimated fetal weight (EFW) and anterior abdomen wall thickness (AAWT) in fetuses complicated by gestational diabetes mellitus (GDM) at the time of GDM screening, and to compare the results with healthy pregnant controls. METHODS: A total of 124 pregnant women between 26 and 28 weeks' gestation were included in the study. These patients were divided into two groups based on their 75-g oral glucose tolerance test results. The study group consisted of 55 pregnant women with GDM, and 69 healthy pregnant women constituted our control group. RESULTS: The study groups did not differ with respect to the mean BPD, FL, AC and EFW; however, the mean AAWT was significantly higher in the GDM group, 4.07 ± 0.46 mm versus 3.28 ± 0.37 mm in the control group (p < 0.001). CONCLUSIONS: The only fetal sonographic measurement found to significantly differ between the study groups was the AAWT in 26 weeks at the time of gestational diabetes screening, suggesting that measuring the AAWT may have a role in the evaluation of fetal growth in pregnancies complicated by gestational diabetes.
OBJECTIVE: The aim of the study was to investigate standard biometric measurements, such as biparietal diameter (BPD), femur length (FL), abdominal circumference (AC), estimated fetal weight (EFW) and anterior abdomen wall thickness (AAWT) in fetuses complicated by gestational diabetes mellitus (GDM) at the time of GDM screening, and to compare the results with healthy pregnant controls. METHODS: A total of 124 pregnant women between 26 and 28 weeks' gestation were included in the study. These patients were divided into two groups based on their 75-g oral glucose tolerance test results. The study group consisted of 55 pregnant women with GDM, and 69 healthy pregnant women constituted our control group. RESULTS: The study groups did not differ with respect to the mean BPD, FL, AC and EFW; however, the mean AAWT was significantly higher in the GDM group, 4.07 ± 0.46 mm versus 3.28 ± 0.37 mm in the control group (p < 0.001). CONCLUSIONS: The only fetal sonographic measurement found to significantly differ between the study groups was the AAWT in 26 weeks at the time of gestational diabetes screening, suggesting that measuring the AAWT may have a role in the evaluation of fetal growth in pregnancies complicated by gestational diabetes.
Authors: Penny Lam; Brendan J Mein; Ronald J Benzie; John T Ormerod; Kristy P Robledo; Emily J Hibbert; Ralph K Nanan Journal: PLoS One Date: 2022-05-31 Impact factor: 3.752