Assessment of Amniotic Fluid Volume in Diabetic Pregnant Women during the second and third trimesters using ultrasound

Abstract

The objective of this study is to assess the amniotic fluid volume in diabetic pregnant women during the second and third trimesters and to identify the effect of diabetes mellitus on amniotic fluid volume . Fifty diabetic pregnant women in the second and third trimesters which undergoing ultrasound exam in the department at Elskaikh Fadul and Elsoudy hospital at Ommdurman. All diabetic pregnant women were in the second and third trimesters, and were scanned by (3.5 MH) convex probe , using (Sonoscape) machine. Ultrasound assessment of amniotic fluid volume by measuring the amniotic fluid index referring to (Phelan method) and measuring the single vertical pocket referring to (Chamberlian method) . The result showed that (13) noncontrolling diabetic pregnant women which was (26%) had polyhydramnios while (37) controlling diabetic pregnant women which was (74%) got an average amniotic fluid volume . The main finding of the study was the polyhydramnios assosciated with noncontrolling diabetes that mean the diabetes mellitus had an effect on amniotic fluid volume . This research showed that there was a strong correlation between the amniotic fluid volume and glucose level which indicated that the amniotic fluid volume increased as a result of increasing of glucose level directly. Finally this study showed that the measurement of amniotic fluid volume by two methods using ultrasound and compare it with the type and status of diabetes play a great role in explaining the effects of diabetes mellitus on pregnancy.