Abstract:
The aim of this study was to study the relationship between fetal growth rate and
presence of maternal liver steatosis in diabetic and nondiabetic pregnant patients.
Assuming there is an effect for maternal liver steatosis, in the presence of high
maternal body mass index on the pattern of fetal growth. A sample was taken in
police hospital, Omar Sawi medical complex contains 131 pregnant mothers with
high body mass index and each was diagnosed with any degree of liver steatosis.
Variables used were maternal age, number of gravida, maternal weight and
height (to calculate the BMI), presence or non-presence of diabetes, presence of
family history of diabetes, in addition to fetal measurements (AC, FL, BPD, FW,
AGA), the fetal measurements obtained were compared with chart measurements
calculated by LMP, to find any difference between them. The result of this study
showed that there is a significance differences between fetal biometry measured
by ultrasound and the one estimated by the calculated GA using LMP using paired
t-test at p = 0.05, where for BPD and FL measured by ultrasound increase by
0.79cm/cm and 0.81cm/cm of the BPD and FL respectively versus that generated
by GA-LMP. Regarding EFW versus GA estimated by ultrasound machine and
calculated by LMP the result was 134gm/week and 98gm/week
respectively. In conclusion liver steatosis affected fetal biometry and hence
the estimated gestational age and estimated fetal weight