A Comparative Study between Umbilical Cord Area and Abdominal Circumference to Predict Macrosomia in Gestational Diabetes Mellitus
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Aim: Comparison of umbilical cord area with abdominal circumference to predict macrosomia in women with gestational diabetes mellitus. Methods: A prospective cohort study including 50 women with gestational diabetes mellitus (GDM) and 50 women without GDM was conducted at tertiary hospital over a period of 1 year, after clearance from Institutional Ethical Committee. Women in both groups were subjected to ultrasonographic examination at 30-32 weeks and subsequently at 36-38 weeks to measure abdominal circumference (AC) and umbilical cord area (UCA). UCA was measured in a cross sectional plane in free loop of umbilical cord. All women were followed till delivery. Birth weight of each baby was measured. Birth weight ≥4.0 kg was considered as macrosomia. Results: Accuracy of 95th centile of AC and UCA was compared. It was found that although AC was 99% accurate but UCA was 100% accurate in predicting macrosomia at both the gestations. Conclusions: Umbilical cord area is a better predictor of macrosomia than abdominal circumference in women with GDM.
Authors and Affiliations
Dr. Nidhi Jain
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