E-ISSN 2149-388X | ISSN 2149-0430
 

Original Article 


Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus

Simten Genc, Orhan Sahin.

Abstract
Introduction: Fetal macrosomia is a clinical condition that significantly affects maternal and fetal health. The objective of this study is to determine the frequency and the associated risk factors of fetal macrosomia in pregnant women with and without gestational diabetes mellitus (GDM).
Materials and Methods: Our study was carried out by retrospectively examining the records of pregnant women who delivered babies with birth weights of ≥4000 g, after the 37th gestational week in the Gynecology Department of Okmeydani Training and Research Hospital between January 1, 2014, and December 31, 2020. Pregnant women were divided into 2 groups as those did not receive (Group 1, n:311) and did (Group 2, n:98) the diagnosis of GDM during their pregnancy.
Results: Frequencies of preeclampsia, polyhydramnios, and shoulder dystocia were statistically significantly higher in the GDM(+) group relative to the GDM(-) group (p=0.007, p=0.006, and p=0.004, respectively). Receiver operator characteristic (ROC) curves were formed to determine cut-off values for age, parity, BPD, FL, and AC. Age (>35 years), FL (≤77 mm), AC (>356 mm), polyhydramnios, and shoulder dystocia were determined as effective factors on fetal macrosomia (p=0.0001, p=0.025, p=0.023, p=0.045, and p=0.009, respectively).
Conclusion: Polyhydramnios, shoulder dystocia, preeclampsia, and an increase in AC but a decrease in BPD and FL values are more common in macrosomia associated with GDM compared to the non-GDM patient group.

Key words: Adverse obstetric outcomes, Gestational diabetes mellitus, Macrosomia, Polyhydramnios


 
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How to Cite this Article
Pubmed Style

Genc S, Sahin O. Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. Ulutas Med J. 2021; 7(3): 172-180. doi:10.5455/umj.20210710071617


Web Style

Genc S, Sahin O. Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. http://www.ulutasmedicaljournal.com/?mno=95158 [Access: September 24, 2021]. doi:10.5455/umj.20210710071617


AMA (American Medical Association) Style

Genc S, Sahin O. Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. Ulutas Med J. 2021; 7(3): 172-180. doi:10.5455/umj.20210710071617



Vancouver/ICMJE Style

Genc S, Sahin O. Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. Ulutas Med J. (2021), [cited September 24, 2021]; 7(3): 172-180. doi:10.5455/umj.20210710071617



Harvard Style

Genc, S. & Sahin, . O. (2021) Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. Ulutas Med J, 7 (3), 172-180. doi:10.5455/umj.20210710071617



Turabian Style

Genc, Simten, and Orhan Sahin. 2021. Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. THE ULUTAS MEDICAL JOURNAL, 7 (3), 172-180. doi:10.5455/umj.20210710071617



Chicago Style

Genc, Simten, and Orhan Sahin. "Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus." THE ULUTAS MEDICAL JOURNAL 7 (2021), 172-180. doi:10.5455/umj.20210710071617



MLA (The Modern Language Association) Style

Genc, Simten, and Orhan Sahin. "Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus." THE ULUTAS MEDICAL JOURNAL 7.3 (2021), 172-180. Print. doi:10.5455/umj.20210710071617



APA (American Psychological Association) Style

Genc, S. & Sahin, . O. (2021) Fetal Macrosomia: Ultrasonographic Parameters and Associated Risk Factors in Pregnancies with and without Gestational Diabetes Mellitus. THE ULUTAS MEDICAL JOURNAL, 7 (3), 172-180. doi:10.5455/umj.20210710071617