الفهرس 
Gestational diabetesOnly 14 pages are availabe for public view
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Abstract
Introduction: Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. The prevalence may range from one to 14% of all pregnancy depending on population study and diagnostic test. Gestational diabetes mellitus is associated with an increased risk for adverse maternal as well as neonatal outcome.
Aim of The Work: The aim of this work is the prediction of fetal macrosomia by measuring: HbA1c level. ; Umbilical cord thickness; Interventricular septum thickness.
Patients and Methods : This prospective case-control study was carried out at Ain shams University maternity hospital between April 2015 and October 2015 on 80 patients. The patients were divided into two groups, 40 pregnant women as case group with gestational diabetes mellitus and 40 non-diabetic pregnant women as control group after being approved by the local hospital ethics and research committee.
GDM is associated with an increased risk of fetal macrosomia which has adverse maternal as well as neonatal outcomes, maternal complications such as postpartum heamorrhage, infections as well as third to fourth vaginal lacerations because of operative delivery due to macrosomia. Fetal macrsomia complicates 20-30% of pregnancies with (GDM).
Fetal complications like shoulder dystocia during delivery and brachial plexus injury. Both neonatal mortality and morbidity are higher in macroscomic fetuses compared with normal weight fetuses. Ceaserian section performed for fetal macrosomia are not rare at all, birth weight of the fetus is an important factor in determining the mode of delivery as the fetus is considered macrosomic if fetal weight is higher than or equal 4 kg.