الفهرس | Only 14 pages are availabe for public view |
Abstract Gestational diabetes mellitus is the most common metabolic complication affecting women during pregnancy. Gestational diabetes mellitus is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Despite recent developments regarding the management of gestational diabetes, the likelihood of fetal macrosomia and other problems during pregnancy and labor remains significantly high in comparison to the general population. It is well known that adipose tissue and skin fold thickness are greater in infant of diabetic mothers than in infant of mothers with normal glucose metabolism. The glucose tolerance test is the most frequently used diagnostic test for gestational diabetes, however it is time consuming, invasive and less tolerated. The aim of this study is to evaluate the efficacy of ultrasound measurements of fetal subcutaneous fat as an alternative method in the diagnosis of gestational diabetes. Our study is case control study and patients recruited from the antenatal clinic of AIN-SHAMS MATERNITY HOSPITAL. They subjected to inclusion criteria included: • Singleton pregnancy. • Non smokers. • No obvious fetal anomalies detected by ultrasound. • Body mass index less than 30. Thirty pregnant women participated in this study, their gestational age calculated according to the last menstrual period and confirmed by ultrasound in the first trimester and accompanied by evaluation of nuchl translucency to exclude abnormal values suggestive of trisomy. GTT performed to all patients at 24 weeks gestational age using 100g sugar diluted in water and serial measurements every 60 minutes up to 3 hours from initiation of the test. According to carpenter criteria patients divided into 2 groups. Group A (N=15) pregnant females with gestational diabetes. Group B (N=15) pregnant females with normal GTT. |