Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 12 , ISSUE 4 ( July-August, 2020 ) > List of Articles

Original Article

Relationship between Ultrasound Measurements of Fetal Adipose Subcutaneous Tissue and Polyhydramnios with Gestational Diabetes Mellitus

Gaana Sreenivas, MS Sujatha

Citation Information : Sreenivas G, Sujatha M. Relationship between Ultrasound Measurements of Fetal Adipose Subcutaneous Tissue and Polyhydramnios with Gestational Diabetes Mellitus. J South Asian Feder Obs Gynae 2020; 12 (4):220-223.

DOI: 10.5005/jp-journals-10006-1803

License: CC BY-NC 4.0

Published Online: 28-09-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Background: Gestational diabetes mellitus (GDM) typically diagnosed by the oral glucose tolerance test (OGTT) between 24 weeks and 28 weeks may miss diagnosis of GDM. Hence, alternative predicators have to be found to classify women as high risk for GDM and keep them under regular follow-up. Aim and objective: To assess the relationship between ultrasound measurements of fetal adipose subcutaneous tissue (ASCT) and polyhydramnios with GDM in a high-risk population attending a teaching hospital of South India. Materials and methods: This cross-sectional study with prospective data collection was performed among 120 women with singleton pregnancies after 23 weeks with at least one risk factor for GDM. Fetal ASCT and polyhydramnios on ultrasound were measured and correlated with GDM, which was diagnosed by Diabetes In Pregnancy Study Group India (DIPSI) criteria. Results: Total 11 (9.2%) of 120 study participants were diagnosed to have GDM. About 65.91% of GDM women had increased ASCT (p < 0.0001) and 56.82% had polyhydramnios (p < 0.0001). The ASCT was significantly higher in GDM (p < 0.0001). Univariate logistic regression showed thickened ASCT and polyhydramnios to be highly significant predictor of GDM (p < 0.0001). Conclusion: There is a strong correlation between thickened ASCT and polyhydramnios with GDM and can be incorporated into regular ultrasound scan after 24 weeks, thereby ensuring that no pregnant woman with GDM is missed. Further studies are recommended to explore other USG parameters with GDM.


HTML PDF Share
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.