Abstract:
Pregnancy-associated diabetes mellitus poses a risk of fetal growth alterations. Fetal
abdominal perimeter can be used as predictive of fetal weight in full-term fetuses with
normal growth, along with biparietal diameter, abdominal circumference and length
of femur to estimate fetal weight through set of parameters; therefore the general
objective of this study was to assess the fetal weight for diabetic maternal. The results
of this study showed that 70% of the ladies enrolled in this study were housewife and
30% were employers, their means age were 29.4±5.5 years, average weight was
65.2±11.9 and height was 152.5±18.7 (Table 4-1 and 4-2). Forty percent of the
patients were primegravida, 42% multipara, and 18% grandmultipara (Table 4- 3).
The history of the patient showed that 36% of the cases had diabetes for the first time
and 64% known cases. Also the family history of the patients indicates that 84% have
past history of disease and 16% with no previous family history. In respect to parity
with its three groups there is no significant differences between the primegravida,
multipara, and grandmultipara incase of diabetes, lab test and fetal measurement using
ANOVA test at p = 0.05, except biparietal diameter where there is a significant
differences with p = 0.045. It has been found that parity status increases the fetal
biparietal diameter by a coefficient of 0.05cm/parity. But the associated diseases like
hypertension, infections, myomas and any other diseases did not affected fetal weight
using ANOVA at p = 0.05. Also in respect to diabetes status this study found that
when the level of glucose increases arbitrary the fetal weight increases by
1.71mg/dl/week, and the fetal weight inversely affected by the amount of hemoglobin
when it increases the fetal weight decreases by 11.09 g/dl.
