Acta clinica Croatica, Vol. 61. No. 1., 2022.
Review article
https://doi.org/10.20471/acc.2022.61.01.12
Ultrasound Diagnosis of Macrosomia among Women with Gestational Diabetes – Review of the Literature
Boris Lovrić
; Department of Obstetrics and Gynecology, Nova Gradiška General Hospital, Nova Gradiška, Croatia
Siniša Šijanović
; Department of Obstetrics and Gynecology, Osijek University Hospital Center, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivan Zmijanović
; Department of Obstetrics and Gynecology, Šibenik General Hospital, Šibenik, Croatia
Gordana Jurić
; Croatian Catholic University, Department of Nursery, Zagreb, Croatia
Josip Juras
orcid.org/0000-0002-1801-5732
; Department of Obstetrics and Gynecology, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Pregnancies burdened with gestational diabetes (GDM) are more likely to end
in birth of a macrosomic child, where the frequency of operative termination of pregnancy is more
common, accompanied with more complications and injuries of both mother and child in comparison
to the general population. The need to calculate fetal weight right before delivery has led to the
development of numerous methods for greater estimation accuracy. We reviewed the related literature
from 1980 to 2020, using the terms macrosomia, ultrasound assessment, gestational diabetes, and
relevant articles were considered in preparation of this article. The most frequently used methods are
based on two-dimensional ultrasound measurements of individual fetal biometric parameters and
their combination in a mathematical regression model. Some methods involve the addition of other
mother and child conditions to increase reliability of the method in recognizing macrosomia. In daily
work, especially with pregnant women suffering from GDM, it is necessary to have reliable data on
the estimated fetal weight before making the correct clinical decision on how to terminate the pregnancy.
In this regard, we bring a review of the literature related to the assessment of fetal macrosomia,
especially in women with GDM.
Keywords
Gestational diabetes mellitus; Fetal weight; Ultrasound; Assessment; Macrosomia
Hrčak ID:
280248
URI
Publication date:
1.3.2022.
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