Sonographic Evaluation of Amniotic Fluid Volume in Diabetic Pregnant Women During Second and Third Trimesters

Abstract

This descriptive study was conducted in order to assess the amniotic fluid volume in diabetic pregnant women to see the effect of diabetes on the amniotic fluid volume and its effect on the fetus. This study was used the Universal Protocol in the work of ultrasound for pregnant diabetic women through data collection sheet that were collected in the period from November 2016 until March 2017. The Statistically Package for Social Sciences program was used in statistical analysis, data were collected from hospitals and different diagnostic centers in the Khartoum state, including Omdurman Maternity Hospital , Alsaikh Mohmmed Ali Fadul Hospital ,Alemtias Medical Center ,Alomran Center and Alsenhory Medical Center. The equipments by which ultrasound exams was done: Mindray Chinese-made, and Sonoscape Chinese-made. This study included fifty diabetic pregnant women in the second and third trimesters of pregnancy and fourty seven non diabetic pregnant women in the second and third trimesters of pregnancy (control group) , the study was found the majority of mother ages between 30-40 years 56% of the sample size. This study measuring the amniotic fluid volume by using (SVP) and AFI (4 Pockets), the study found abnormally increase in amniotic fluid volume (polyhydramnios) represent 60% of sample size, the highest rate of diabetes from gestational diabetes 58%. The study also found that 16% of the sample size have debris (echo) in the fluid surrounding the fetus and 4% of the sample size have macrosomic fetus (large fetus size) . The study recommended special care for diabetic pregnant women followed periodically frequently also recommended studying other factors that effect in the amount of amniotic fluid as well as diabetes and the effect of diabetes in the size of the placenta and see themVoverlapping relationships. The study also recommended the training of medical staff and urged them to measure amniotic fluid volume for early diagnosis to any abnormality (polyhydrmnios or oligohydrmnios) that may affect either the fetus or the pregnant diabetic women and to treat it early. It is also recommended to facilitate ultrasound machine in every hospital and medical health centers