Fetal wellbeing in diabetes

Fetal wellbeing in diabetes

S-Hantoushzadeh MD , Perinatolgy Dep, Vali-e-Asr hospital ,TUMS

Epidemiology:

• Most common medical complication of Pregnancy
• affects 2-5% of pregnancies
  • Gestational DM 90%
  • Preexisting DM 10%
  • Risk of fetal loss
  • perinatal mortality 48/1000 for babies of diabetic mothers, compared to 8.9/1000 for background population

Maternal Hyperglycemia:

• Causes fetal hyperglycemia
• Leading to fetal hyperinsulinaemia
• Fetal hyperinsulinaemia - even short periods (1-2hours) lead to detrimental consequences in:
  • fetal growth or fetal well-being

Fetal surveillance:

• screening for congenital anomalies
• monitoring for fetal well-being,
• ultrasound assessment for estimated fetal weight and macrosomia.