Detection of pregnancies with high risk of fetal macrosomia among women with gestational diabetes mellitus

Acta Obstetricia Et Gynecologica Scandinavica
Lauri SuhonenKari Teramo

Abstract

To compare the frequency of fetal macrosomia and Erb's palsy in two groups of women with gestational diabetes mellitus (GDM) and in healthy controls. Retrospective clinical study of women with GDM. Pregnant women in Greater Helsinki area. Nine hundred and five pregnancies and newborn infants of women with GDM and 805 non-diabetic controls. GDM was diagnosed by a 2-hour oral glucose tolerance test (OGTT) among women with risk factors for GDM. The treatment of GDM was resolved by a 24-hour glucose profile obtained after 2 or 3 abnormal glucose values in the OGTT. Patients with a history of insulin-treated GDM in a previous pregnancy and those with a fasting glucose over 6 mmol/l underwent a 24-h glucose profile directly without a preceding OGTT. Fetal macrosomia, defined as a birth weight (adjusted for sex and gestational age) of >2.0 SD above the mean of a Finnish standard population. Erb's palsy. 385 women (42.5%) were treated with insulin and diet and 520 (57.5%) with diet only. Macrosomia occurred more often in the insulin-treated group (18.2%, p<0.001) compared with the diet-treated group (4.4%) and the controls (2.2%). The rate of Erb's palsy was 2.7% in the insulin-treated group, 2.4% in the diet-treated group, compared wi...Continue Reading

Citations

Nov 6, 2014·International Journal of Molecular Medicine·Qinyu GeYunfei Bai
Feb 26, 2010·The Journal of Hand Surgery, European Volume·M M Al-QattanF S Al-Kahtani
Aug 11, 2016·Revista latino-americana de enfermagem·Ivy Kiemle Trindade-SuedamAlceu Sergio Trindade
May 23, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Raanan MeyerGabriel Levin
Dec 18, 2014·American Journal of Physiology. Endocrinology and Metabolism·Noriko YamabeBao Ting Zhu
Jul 6, 2019·Journal of Diabetes and Metabolic Disorders·Reza TabriziMahmood Moosazadeh
Oct 3, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Xinyi KangJing Xiao

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