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Document Type

Original Article

Abstract

Background: One of the most prevalent adverse pregnancy outcomes is gestational diabetes mellitus (GDM). Different degrees of impaired glucose metabolism characterize GDM, which is typically diagnosed during pregnancy. Consistent economic growth, rising living standards, and the introduction of more stringent diagnostic criteria have all contributed to a rise in GDM morbidity in emerging nations in recent years. Aim and objectives: The purpose of this study was to determine whether or not gestational diabetes has an impact on fetal hemodynamics, fetal growth indices, and birth weight. Subjects and methods: This cross-sectional prospective comparative study included 210 pregnant ladies between 36 – 40 weeks of gestation with their pregnancies complicated by GDM who attended to Al Hussien Hospital and El Galaa Teaching Hospital till the finale of the study. Results: There was a statistically significant difference among the studied groups as regard fetal parameters, fetal & birth weight, laboratory investigations and neonatal outcome. Conclusion: We suggest that in late pregnancy, clinicians can estimate a GDM's birth weight using fetal Doppler hemodynamic indicators. There is statically significant positive correlation between HA1C and BPD, HC, AC, FL, EFW, Birth Wt, UARI, MCARI and significant negative correlation between HA1C and UAPI, MCAPI, and MCA/UA PI ratio.

Keywords

Gestational diabetes mellitus (GDM); fetal hemodynamic indices; fetal birth weight

Subject Area

Obstetrics and Gynecology

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