IMR Press / CEOG / Volume 39 / Issue 4 / pii/1630475830828-123805027

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Prediction of fetal macrosomia with ultrasound parameters and maternal glycemic controls in gestational diabetes mellitus
Show Less
1 Clinical Centre of Serbia, Institute of Gynecology and Obstetrics, Faculty of Medicine Belgrade, University of Belgrade
2 Hospital for Gynecology and Obstetrics, Clinical Hospital Centre, Zemun, Belgrade
3 Clinic for Gynecology and Obstetrics “Narodni front”, Belgrade
4 Pharmaceutical Faculty, Belgrade (Serbia)
Clin. Exp. Obstet. Gynecol. 2012, 39(4), 512–515;
Published: 10 December 2012
Abstract

Purpose of investigation: Evaluation of ultrasound measurements of fetal adipose subcutaneous tissue (ASCT), abdominal circumference (AC), liver length (LL), and amniotic fluid index (AFI) in prediction of fetal macrosomia (FM) and gestational diabetes mellitus (GDM). Materials and Methods: In a prospective clinical trial, 280 pregnant women underwent 100 g oral glucose tolerance test (oGTT) at 28th week of gestation (wg) and measurements of AC, LL, AFI, and ASCT at 32nd, 34th, 36th, and 38th wg. Results: For GDM, the best sensitivity was achieved by ACST at 32nd and 34th wg, the best specificity by LL at 32nd wg (90.6%), the best area under the curve (AUC) by LL at 34th wg (0.944). For FM the best sensitivity was achieved by AC at 32th, 34th, 36th, and 38th wg and by ASCT at 34th wg (94.2%), and the best AUC at 38th wg for AC (0.974). Conclusion: Ultrasound parameters of glycemic control were good predictors of FM and GDM.
Keywords
Gestational diabetes mellitus
Ultrasonography
Fetal adipose subcutaneous tissue
Fetal liver length
Amniotic fluid index
Fetal abdominal circumference
Share
Back to top