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Collegium antropologicum, Vol. 33 No. 4, 2009.

Original scientific paper

Fetal Macrosomia in Pregnant Women with Gestational Diabetes

Jadranko Šegregur ; Department of Gynecology and Obstetrics, General Hospital Virovitica, Virovitica, Croatia
Damir Buković ; Department of Obstetrics and Gynecology, University Hospital Center Zagreb, Zagreb Croatia
Darko Milinović ; Department of Obstetrics and Gynecology, General Hospital Gospić, Gospić, Croatia
Slavko Orešković ; Department of Obstetrics and Gynecology, University Hospital Center Zagreb, Zagreb Croatia
Jasminka Pavelić ; Division of Molecular Medicine, Institute »Ruđer Bošković«, Zagreb, Croatia
Tomislav Župić ; Department of Obstetrics and Gynecology, University Hospital Center Zagreb, Zagreb Croatia
Jasminka Peršec ; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb, Croatia
Mato Pavić ; Department of Obstetrics and Gynecology, University Hospital Center Zagreb, Zagreb Croatia

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Abstract

The aim of the study was to determine the frequency of fetal macrosomia in newborns from mothers with gestational diabetes mellitus (GDM) and healthy mothers, as well as determining the influence of fetal growth on pregnancy termination, on complications in pregnancy, during delivery and puerperium and on neonatal complications. In the study were included 351 pregnant women with GDM, as well as control group of 1502 healthy pregnant women. Newborns of mothers with GDM had significantly higher birth weight and length, ponderal index >2.85 was more frequent, they were macrosomic and hypertrophic (disproportional and proportional), had smaller Apgar score and more frequent neonatal complications (p<0.05). Fetal macrosomia and fetal hypertrophy alone or, particularly, connected with disproportional fetal growth, but disproportional hypotrophy as well, had significantly influence on greater frequency of delivery and puerperal complications, delivery completion with Cesarean section and neonatal complications in pregnant women with GDM.

Keywords

gestational diabetes mellitus; fetal macrosomia; disproportional growth

Hrčak ID:

51471

URI

https://hrcak.srce.hr/51471

Publication date:

1.12.2009.

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