Ultrasound diagnosis of macrosomia among women with gestational diabetes – review of the literature
| Autor: | Boris, Lovrić, Siniša, Šijanović, Ivan, Zmijanović, Gordana, Jurić, Josip, Juras |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Diabetes
Gestational Gestational diabetes mellitus Fetal weight Ultrasound Assessment Macrosomia Fetal Weight Pregnancy Humans Reproducibility of Results Female General Medicine Gestacijski dijabetes melitus Fetalna masa Ultrazvuk Procjena Makrosomija Child Weight Gain Fetal Macrosomia gestational diabetes mellitus fetal weight ultrasound assessment macrosomia |
| Zdroj: | Acta clinica Croatica Volume 61. Issue 1. |
| ISSN: | 0353-9466 1333-9451 |
| Popis: | Pregnancies burdened with gestational diabetes (GDM) are more likely to end in birth of a macrosomic child, where the frequency of operative termination of pregnancy is more common, accompanied with more complications and injuries of both mother and child in comparison to the general population. The need to calculate fetal weight right before delivery has led to the development of numerous methods for greater estimation accuracy. We reviewed the related literature from 1980 to 2020, using the terms macrosomia, ultrasound assessment, gestational diabetes, and relevant articles were considered in preparation of this article. The most frequently used methods are based on two-dimensional ultrasound measurements of individual fetal biometric parameters and their combination in a mathematical regression model. Some methods involve the addition of other mother and child conditions to increase reliability of the method in recognizing macrosomia. In daily work, especially with pregnant women suffering from GDM, it is necessary to have reliable data on the estimated fetal weight before making the correct clinical decision on how to terminate the pregnancy. In this regard, we bring a review of the literature related to the assessment of fetal macrosomia, especially in women with GDM. Trudnoće opterećene gestacijskim dijabetesom (GDM) vjerojatnije će, u usporedbi s općom populacijom, završiti rođenjem makrosomskog djeteta, gdje je učestalost operativnog dovršenja trudnoće češća, popraćena s više komplikacija i oštećenja majke i djeteta. Potreba za izračunavanjem fetalne mase neposredno prije porođaja dovela je do razvoja brojnih metoda u svrhu veće preciznosti procjene. Pregledali smo literaturu od 1980. do 2020. godine rabeći izraze makrosomija, ultrazvučna procjena, gestacijski dijabetes, i upotrijebili smo relevantne članke u pripremi ovog članka. Najčešće primjenjivane metode temelje se na dvodimenzionalnim ultrazvučnim mjerenjima pojedinih fetalnih biometrijskih parametara i njihovoj kombinaciji u matematičkom regresijskom modelu. Neke su metode uključivale dodavanje drugih stanja majke i djeteta kako bi se povećala pouzdanost metode u prepoznavanju makrosomije. U svakodnevnom radu, osobito kod trudnica koje pate od GDM-a, potrebno je imati pouzdane podatke o procijenjenoj fetalnoj težini prije donošenja ispravne kliničke odluke o načinu dovršenja trudnoće. S tim u vezi donosimo pregled literature koja se odnosi na procjenu fetalne makrosomije, naročito u žena s GDM-om. |
| Databáze: | OpenAIRE |
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