Fetal Growth Delay and Maternal Hemoglobin A1c in. Early Diabetic Pregnancy

Forty insulin-dependent diabetic women in the first trimester of pregnancy were studied. Fetal crown-rump length was measured by ultrasound and related to maternal hemoglobin A1c. Thirty mothers with normal size fetuses had an average hemoglobin A1c level of 7.8%. Ten mothers had fetuses that were s...

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Veröffentlicht in:	Obstetrics and gynecology (New York. 1953) 1984-09, Vol.64 (3), p.351-352
Hauptverfasser:	PEDERSEN, JAN FOG, MOSLSTED-PEDERSEN, LARS, MORTENSEN, HENRIK B
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Birth Weight Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - complications Female Fetal Growth Retardation - etiology Gestational Age Glycated Hemoglobin A - analysis Gynecology. Andrology. Obstetrics Humans Infant, Newborn Management. Prenatal diagnosis Medical sciences Pregnancy Pregnancy in Diabetics - blood Pregnancy in Diabetics - complications Pregnancy. Fetus. Placenta
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Zusammenfassung:	Forty insulin-dependent diabetic women in the first trimester of pregnancy were studied. Fetal crown-rump length was measured by ultrasound and related to maternal hemoglobin A1c. Thirty mothers with normal size fetuses had an average hemoglobin A1c level of 7.8%. Ten mothers had fetuses that were smaller than normal (equivalent to eight to 14 days less growth) and also had higher hemoglobin A1c, 8.9% (P < .05), indicating a more poorly controlled diabetes. Careful metabolic compensation in very early diabetic pregnancy should therefore be attempted to prevent induction of early fetal growth delay.
ISSN:	0029-7844 1873-233X