Abstract | OBJECTIVE: In a group of diabetic pregnant women, the umbilical artery pulsatility index (PI) was compared with both pregnancy complications and perinatal outcomes. METHOD: RESULTS: Among the 67 diabetic patients enrolled in this study, 44 (66%) had umbilical PIs ranging from the 5th to the 95th percentile (PI mean +/- SD = 1.2 +/- 0.3), while 23 (34%) had PIs above the 95th percentile (PI mean +/- SD = 1.6 +/- 0.3). Among the group with pathologic umbilical PIs, analysis of the data revealed a significantly higher incidence of both cesarean sections for acute fetal distress and perinatal complications: RDS; hyperbilirubinemia; hypoglycemia, and the need for NICU, respectively. CONCLUSION: In 34% of the diabetic pregnant women without hypertension, we found increased vascular resistances. Among these patients the incidence of perinatal complications was higher, and both closer maternal metabolic control and stricter care of fetal conditions are needed.
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Authors | G M Fadda, P L Cherchi, D D'Antona, G Ambrosini, D Marchesoni, G Capobianco, S Dessole |
Journal | Gynecologic and obstetric investigation
(Gynecol Obstet Invest)
Vol. 51
Issue 3
Pg. 173-7
( 2001)
ISSN: 0378-7346 [Print] Switzerland |
PMID | 11306904
(Publication Type: Journal Article)
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Copyright | Copyright 2001 S. Karger AG, Basel |
Chemical References |
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Topics |
- Cesarean Section
- Delivery, Obstetric
- Diabetes Mellitus, Type 1
(physiopathology)
- Female
- Fetal Distress
(physiopathology)
- Fetal Growth Retardation
(physiopathology)
- Fetal Macrosomia
(physiopathology)
- Gestational Age
- Glycated Hemoglobin
(analysis)
- Humans
- Hyperbilirubinemia
(physiopathology)
- Hypertension
- Hypoglycemia
(physiopathology)
- Infant, Newborn
- Intensive Care, Neonatal
- Laser-Doppler Flowmetry
- Pregnancy
- Pregnancy in Diabetics
(physiopathology)
- Pulsatile Flow
- Respiratory Distress Syndrome, Newborn
(physiopathology)
- Umbilical Arteries
(physiopathology)
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