ULTRASOUND AND DOPPLER IN ASSESSMENT OF EFFECTS OF PREGNANCY ASSOCIATED DIABETES MELLITUS ON FETOPLACENTAL CIRCULATION.

Document Type : Preliminary preprint short reports of original research

Authors

1 Radiology department Alexandria university

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University.

3 Lecturer in Radiodiagnosis, Faculty of Medicine, University of Alexandria,

4 Departmentof Radiodiagnosis, Faculty of Medicine, University of Alexandria.

Abstract

Diabetes mellitus (DM) is one of the most common non-communicable diseases (NCD), with serious consequence on the fetus and the expectant mother. It is classically categorized into pregestational diabetes mellitus or other less common subtypes including gestational diabetes.
Pregnancies complicated by DM are associated with an increased risk of fetal and neonatal risks compared to pregnancies in the healthy gravida. Stillbirth and perinatal mortality may be increased as much as 5 times for patients with insulin-dependent diabetes than in the general population
The rate of significant congenital malformations ranges between 6%-10% among both GDM and PGDM with much higher risk in PGDM than GDM .Fetal congenital malformations can affect virtually every single organ in the fetus; however, two-thirds of the anomalies involve the cardiovascular system (8.5 per 100 live births) or central nervous system.
On the maternal side, morbidity and mortality rates are higher among pregnant women with diabetes. Because of highr incidence of preeclampsia (12.7%), Cesarean section (44.3%) and maternal mortality (0.6%).

AIM:
The aim was to assess the effects of pregnancy associated diabetes on fetoplacental circulation.

Keywords