Fetal biometry at the time of diagnosis of gestational diabetes in undernourished (low BMI) mothers from rural KONKAN region of Maharashtra, India (BKLWHANC-4)
DOI:
https://doi.org/10.37506/6cq85354Keywords:
Under-nutrition, Fetal growth, Gestational diabetes, KONKANAbstract
Background: To measure fetal biometric parameters and perform oral glucose tolerance test at first antenatal visit in rural undernourished pregnant mothers in a cross sectional study. Compare fetal biometry between mothers diagnosed with gestational diabetes and those with normal glucose tolerance.
Methods: Every undernourished pregnant woman at the time of registration in the antenatal clinic underwent oral glucose tolerance test using the protocol set by Ministry of Health and Family Welfare, Government of India. In addition, anthropometric assessment and an ultrasound scan were offered to every woman. Fetal biometric parameters (bi parietal diameter, abdominal circumference, femur length and head circumference) were measured. Fetal weight was estimated. All the measures were converted to gestation specific standard deviation scores. Comparison of parameters between mothers with and without gestational diabetes (GDM) was done using t-test. Association between gestational diabetes and fetal biometry was analysed using odds ratios.
Conclusion:
Our unexpected results of small fetal size along with AC of undernourished pregnant women with gestational diabetes will have clinical implications on treatment of gestational diabetes and fetal outcome in rural India.
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Copyright (c) 2025 Netaji Patil, Suvarna Patil, Angha Modak, Dnyaneshwar Jadhav, Charudatta Joglekar, Omkar Dervankar, Pallavi Bhat, Asmita Jadhav
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