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EP02.44: Rare fetal conditions associated with gestational diabetes mellitus: management, prognosis and surveillance
Author(s) -
Bohiltea R.E.,
Turcan N.,
Baros A.,
Ducu I.,
Teodor O.,
Cirstoiu M.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21145
Subject(s) - medicine , gestational diabetes , obstetrics , pregnancy , diabetes mellitus , fetal macrosomia , polyhydramnios , fetus , gestational age , gestation , endocrinology , genetics , biology
Once the diagnosis of gestational diabetes mellitus is established, the clinician will classify the case as one with high maternal-fetal risk. The antepartum management, counseling, assessment of fetal well-being and delivery timing are crucial aspects for these cases. Besides the short-term complications, frequent and wellknown as: macrosomia, preeclampsia, polyhydramnios, stillbirth and neonatal morbidity, we aimed to analyze other, rarer fetal conditions associated with gestational diabetes. Spontaneous abortion and fetal malformation have significantly increased rates in women with an elevated glycated hemoglobin (>10.1%). Poor metabolic control with maternal hyperglycemia during organogenesis increases the risks for these conditions