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Use of the myocardial performance index as a prognostic indicator of adverse fetal outcome in poorly controlled gestational diabetic pregnancies
Author(s) -
Bhorat Ismail E.,
Bagratee Jayanthilall S.,
Pillay Morgan,
Reddy Tarylee
Publication year - 2014
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.4471
Subject(s) - medicine , gestational age , gestational diabetes , obstetrics , pregnancy , neonatal intensive care unit , fetus , apgar score , gestation , small for gestational age , cardiology , pediatrics , biology , genetics
What is known about the topic? Fetal complications in gestational diabetes without microvascular complications are related to fetal hyperinsulinism. Our present prenatal surveillance techniques in diabetic pregnancies are neither appropriate nor sufficient as a monitoring tool. Impaired cardiac function in fetuses of diabetic pregnancies has been documented, but no link to adverse outcome has been demonstrated.What this study adds to the topic? This study has established an association between fetal cardiac dysfunction and abnormal fetal outcomes in poorly controlled gestational diabetic pregnancies. There seems to be an association between severity of the myocardial performance index elevation and rates of abnormal outcomes. Myocardial performance index may be an attractive monitoring tool of the fetus in poorly controlled diabetic pregnancy.