Using Estimated Fetal Weight From Ultrasonography at 18 to 22 Weeks to Predict Gestational Diabetes Mellitus and Newborn Macrosomia

Liao, Pamela; Park, Alison L.; Berger, Howard; Ray, Joel G.

doi:10.1016/s1701-2163(15)30510-7

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…1 However, Liao et al reported that higher estimated fetal weight was not associated with the occurrence of GDM. 20 Our study also observed increased Amniotic Fluid Index (AFI) a strong predictor of GDM. However, the frequency of increased AFI (65.3%) in our study was much higher than that of some of the European studies.…”

Section: Discussionsupporting

confidence: 66%

Obstetric ultrasonography as a screening tool for the diagnosis of GDM: Detection of raised AFI and large for gestational age fetus

Sultana¹

2022

Isra Med J

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Objective: To establish the role of determining increased amniotic fluid index (AFI) and large for gestational age (LGA) fetus on ultrasound for the screening of gestational diabetes mellitus (GDM). Study Design: Descriptive Observational study. Place and Duration: Department of Gynaecology and Obstetrics, Pakistan Railway Hospital, Rawalpindi from 1st September 2021 till 28th February 2022. Methodology: The pregnant women, between 20-30 weeks of gestation, suspected of having excessive AFI or LGA fetuses on routine clinical examination, were advised to have an obstetric ultrasound scan. AFI > 20 cm or LGA on ultrasound (>90th percentile for that gestation) were considered abnormal. These participants were then subjected to 75-gram Oral Glucose Tolerance test (OGTT). Based on OGTT, the sample population was divided into two groups at the post-stratification stage: with and without Gestational Diabetes Mellitus (GDM). Chi-square test was applied to compare the frequency of increased AFI and LGA between patients having GDM or not having GDM. Results: The study population (n=75) showed the frequency of LGA as 37.3 % and increased AFI as 65.3%. Women with increased AFI were at a significantly greater risk of GDM (65%), as compared to those with normal AFI (27%) with p-value of 0.002. Also, patients having LGA fetuses (60.7%) were at a greater risk of having GDM, as compared to those with normal weight fetuses (34%) with p-value of 0.024. Conclusion: Women with Increased AFI and LGA fetuses between 20-30 weeks of gestation are at a greater risk to develop GDM. Hence these ultrasound parameters can be used as reliable screening tools for the detection of GDM. Keywords: Adverse pregnancy outcome, Fetal macrosomia, Gestational diabetes mellitus, Increased Fetal weight, Polyhydramnios

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Section: Discussionsupporting

confidence: 66%

Obstetric ultrasonography as a screening tool for the diagnosis of GDM: Detection of raised AFI and large for gestational age fetus

Sultana¹

2022

Isra Med J

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“…Th is topic is still controversial. On one side, some authors suggest to use estimated fetal weight (EFW) from ultrasonography at 18 to 22 weeks, to predict GDM and newborn macrosomia (Liao et al 2014). On the other side, other authors prompt that EFW at 18 to 22 weeks does not predict the onset of GDM, but large for gestational age (LGA) (Liao et al 2014).…”

Section: Diagnosismentioning

confidence: 99%

Gestational diabetes: An overview with attention for developing countries

Schiavone

Putoto

et al. 2016

Endocrine Regulations

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Gestational diabetes mellitus (GDM) is defi ned as a glucose intolerance that occurs for the fi rst time or it is fi rst identifi ed during pregnancy. Th e GDM etiology is multifactorial. It has not completely been established yet and several known risk factors may contribute to its onset. To date, there are no shared guidelines on the management and follow-up, especially regarding the lowincome countries. In this paper, we describe the state of art about epidemiology, physiopathology, diagnosis, and management of GDM. Moreover, we focus on the current state in low income countries trying to outline basis for further research.

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“…To our knowledge, limited data exist on the impact of estimated fetal weight (EFW) early in pregnancy and the association with GDM and neonatal LGA. A Canadian-based study found that LGA at 18-22 weeks' gestation was associated with LGA at birth but not with GDM 5 . This case-control study was limited by a small sample size (65 cases and 131 controls), and other literature addressing this potential association is scarce.…”

Section: Introductionmentioning

confidence: 99%

Large‐for‐gestational age diagnosed during second‐trimester anatomy ultrasound and association with gestational diabetes and large‐for‐gestational age at birth

Rekawek

Liu

Getrajdman

et al. 2020

Ultrasound in Obstet & Gyne

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Objectives To determine if large‐for‐gestational age (LGA) diagnosed during second‐trimester ultrasound examination is associated with the development of gestational diabetes mellitus (GDM) and LGA at birth. Methods This was a retrospective cohort study of all pregnant women who underwent a second‐trimester anatomy ultrasound examination between 18 and 22 weeks at our institution from 2012 to 2017. Patients were included in the LGA group if estimated fetal weight and/or fetal abdominal circumference was ≥ 90th percentile for gestational age. Patients with a history of pre‐GDM, multiple gestation, preterm delivery, use of betamethasone or fetal anomaly were excluded. The control group consisted of appropriate‐for‐gestational‐age (AGA) pregnancies that were scanned at 18–22 weeks during the study period. AGA was defined as EFW > 10th percentile and ≤ 89th percentile. Prenatal and delivery records were reviewed and demographic and outcome variables were collected. Multivariable logistic regression models were applied to assess the impact of LGA diagnosed in the second trimester on the development of GDM and LGA at birth (birth weight ≥ 90th percentile). Results The study population included 756 patients with a LGA fetus and 756 with an AGA fetus on second‐trimester ultrasound examination. In patients with a LGA fetus diagnosed during the second‐trimester ultrasound examination, the incidence of GDM was 6.0% and the incidence of LGA at birth was 14.9%. Among patients with a LGA fetus in the second trimester, those who developed GDM or LGA at birth were significantly older and were more likely to be obese. Moreover, parity was associated with neonatal LGA (P = 0.0003) but not with GDM (P = 0.82). On multivariable logistic regression analysis with adjustment for age, parity, change in gestational body mass index, obesity, ethnicity and neonatal sex, LGA diagnosed during the second trimester was associated significantly with GDM (adjusted odds ratio (aOR), 2.54; 95% CI, 1.29–5.03; P = 0.007) and LGA at birth (aOR, 6.85; 95% CI, 3.60–13.05; P < 0.0001). Conclusions LGA diagnosed during second‐trimester ultrasound examination is associated with the development of GDM and LGA at birth, independent of known risk factors, and could be used to identify these women earlier for intervention. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.

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Using Estimated Fetal Weight From Ultrasonography at 18 to 22 Weeks to Predict Gestational Diabetes Mellitus and Newborn Macrosomia

Cited by 6 publications

References 9 publications

Obstetric ultrasonography as a screening tool for the diagnosis of GDM: Detection of raised AFI and large for gestational age fetus

Obstetric ultrasonography as a screening tool for the diagnosis of GDM: Detection of raised AFI and large for gestational age fetus

Gestational diabetes: An overview with attention for developing countries

Large‐for‐gestational age diagnosed during second‐trimester anatomy ultrasound and association with gestational diabetes and large‐for‐gestational age at birth

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