INFANTS OF DIABETIC MOTHERS WITH ACCELERATED FETAL GROWTH BY ULTRASONOGRAPHY - ARE THEY ALL ALIKE

被引:31
作者
KELLER, JD
METZGER, BE
DOOLEY, SL
TAMURA, RK
SABBAGHA, RE
FREINKEL, N
机构
[1] NORTHWESTERN UNIV,SCH MED,DEPT MED,CHICAGO,IL 60611
[2] NORTHWESTERN UNIV,SCH MED,CTR ENDOCRINOL METAB & NUTR,CHICAGO,IL 60611
关键词
amniotic fluid insulin; diabetes mellitus; Evolving macrosomia;
D O I
10.1016/0002-9378(90)91091-P
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We studied longitudinal ultrasonographic growth patterns (abdominal circumference, biparietal diameter) initiated early in gestation in 52 pregnancies complicated by pregestational diabetes mellitus and 19 controls. Three predominant patterns of growth were ascertained including a heretofore unrecognized pattern characterized by accelerated abdominal circumference growth (>90th percentlle) before 24 weeks' gestational age. Maternal and neonatal anthropometric and metabolic parameters were contrasted for the three patterns. The findings suggest that in some cases of diabetic macrosomia that can be recognized before 24 weeks' gestation, augmented growth may be influenced by factors other than fetal hyperinsulinism. © 1990.
引用
收藏
页码:893 / 897
页数:5
相关论文
共 14 条
[1]   THE EFFECT OF GESTATIONAL-AGE ON AMNIOTIC-FLUID GLUCOSE IN PREGNANCY COMPLICATED BY DIABETES-MELLITUS [J].
DOOLEY, SL ;
METZGER, BE ;
DEPP, R ;
FREINKEL, N ;
PHELPS, RL .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1982, 142 (05) :492-496
[2]   PROGNOSIS FOR BABIES BORN TO DIABETIC MOTHERS IN EDINBURGH [J].
FARQUHAR, JW .
ARCHIVES OF DISEASE IN CHILDHOOD, 1969, 44 (233) :36-+
[3]   BODY COMPOSITION OF INFANTS OF DIABETIC MOTHERS BY DIRECT ANALYSIS [J].
FEE, BA ;
WEIL, WB .
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 1963, 110 (02) :869-&
[4]   SONOGRAPHIC EVALUATION OF FETAL ABDOMINAL GROWTH - PREDICTOR OF THE LARGE-FOR-GESTATIONAL-AGE INFANT IN PREGNANCIES COMPLICATED BY DIABETES-MELLITUS [J].
LANDON, MB ;
MINTZ, MC ;
GABBE, SG .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1989, 160 (01) :115-121
[5]  
LUBCHENCO LO, 1963, PEDIATRICS, V32, P793
[6]  
NAEYE RL, 1965, PEDIATRICS, V35, P980
[7]   PERINATAL ISLET FUNCTION IN GESTATIONAL DIABETES - ASSESSMENT BY CORD PLASMA C-PEPTIDE AND AMNIOTIC-FLUID INSULIN [J].
OGATA, ES ;
FREINKEL, N ;
METZGER, BE ;
PHELPS, RL ;
DEPP, R ;
BOEHM, JJ ;
DOOLEY, SL .
DIABETES CARE, 1980, 3 (03) :425-429
[8]   SERIAL ULTRASONOGRAPHY TO ASSESS EVOLVING FETAL MACROSOMIA - STUDIES IN 23 PREGNANT DIABETIC WOMEN [J].
OGATA, ES ;
SABBAGHA, R ;
METZGER, BE ;
PHELPS, RL ;
DEPP, R ;
FREINKEL, N .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (23) :2405-2408
[9]  
OSULLIVAN JB, 1964, DIABETES, V13, P278
[10]   WEIGHT AND LENGTH AT BIRTH OF INFANTS OF DIABETIC MOTHERS [J].
PEDERSEN, J .
ACTA ENDOCRINOLOGICA, 1954, 16 (04) :330-342