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journal article Nov 07, 2003

Evaluation of the measurement of the fetal fat layer, interventricular septum and abdominal circumference percentile in the prediction of macrosomia in pregnancies affected by gestational diabetes

M. Bethune R. Bell
Ultrasound in Obstetrics & Gynecology Vol. 22 No. 6 pp. 586-590 · Wiley
View at Publisher Save 10.1002/uog.885
Abstract
AbstractObjectivesTo evaluate the measurement of the fetal abdominal fat layer (FFL), cardiac interventricular septum (IVS) and abdominal circumference (AC) percentile in the early third trimester as predictors of macrosomia at birth in the fetuses of women with gestational diabetes.MethodsNinety patients attending the hospital's special diabetic clinic were recruited prospectively. FFL and IVS were measured in addition to the routine biometry in the early third trimester. AC was measured routinely and AC percentile was determined from established antenatal charts. These measurements were then assessed as predictors of macrosomia.ResultsA fetal fat layer of ≥5 mm was the most useful predictor of macrosomia at term as assessed using the likelihood ratio. An AC ≥90th percentile, however, had a better sensitivity.ConclusionThe usefulness of routine FFL measurement in the early third trimester in the management of diabetic pregnancies is worthy of further evaluation. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.
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References
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Gilby JR "Fetal abdominal circumference measurements of 35 and 38 cm as predictors of macrosomia. A risk factor for shoulder dystocia" J Reprod Med (2000)
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Veille JC "Interventricular septal thickness in fetuses of diabetic mothers" Obstet Gynecol (1992)
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Hill LM "Subcutaneous tissue thickness cannot be used to distinguish abnormalities of fetal growth" Obstet Gynecol (1992)
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Cited By
46
Mid-Trimester Fetal Anterior Abdominal Wall Subcutaneous Tissue Thickness: An Early Ultrasonographic Predictor of Gestational Diabetes Mellitus

Isha Seth, Ram K Aiyappan · 2023

Cureus
Metrics
46
Citations
29
References
Details
Published
Nov 07, 2003
Vol/Issue
22(6)
Pages
586-590
License
View
Authors
M
M. Bethune
R
R. Bell
Cite This Article
M. Bethune, R. Bell (2003). Evaluation of the measurement of the fetal fat layer, interventricular septum and abdominal circumference percentile in the prediction of macrosomia in pregnancies affected by gestational diabetes. Ultrasound in Obstetrics & Gynecology, 22(6), 586-590. https://doi.org/10.1002/uog.885
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