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Ultrasound measurements of umbilical cord transverse area in normal pregnancies and pregnancies complicated by diabetes mellitus

Pietryga, Marek; Brazert, Jacek; Wender-Ozegowska, Ewa; Zawiejska, Agnieszka; Brazert, Maciej; Dubiel, Mariusz and Gudmundsson, Saemundur LU (2014) In Ginekologia Polska 85(11). p.810-814
Abstract
Objective: A voluminous umbilical cord has been described in diabetic pregnancies. The aim of this study was to see if measurements of cord diameters might be of value in the evaluation of diabetic pregnancies and especially those suspected of a large for gestational age (LGA) fetus. Methods: In an observational, prospective study umbilical cord areas and vessel diameters were measured between gestational age of 22 and 40 weeks in transverse ultrasound images of the central part of the cord in 141 normal and 135 diabetic pregnancies of which 30 were suspected of being LOA. Wharton's jelly area was calculated by subtracting the vessel area from the total transverse cord area. Normal reference curves were constructed for gestational age.... (More)
Objective: A voluminous umbilical cord has been described in diabetic pregnancies. The aim of this study was to see if measurements of cord diameters might be of value in the evaluation of diabetic pregnancies and especially those suspected of a large for gestational age (LGA) fetus. Methods: In an observational, prospective study umbilical cord areas and vessel diameters were measured between gestational age of 22 and 40 weeks in transverse ultrasound images of the central part of the cord in 141 normal and 135 diabetic pregnancies of which 30 were suspected of being LOA. Wharton's jelly area was calculated by subtracting the vessel area from the total transverse cord area. Normal reference curves were constructed for gestational age. Results: Umbilical cord and Wharton's jelly areas increased with gestation. The vessel area leveled out at 32-33 weeks of gestation and the umbilical vein area decreased after 36 weeks of gestation. The umbilical cord parameters in diabetic pregnancies did not differ from controls. Cord areas were enlarged in 1/3 of the LGA fetuses. Conclusion: Umbilical cord area measurements are of limited value for the evaluation of diabetic pregnancies suspected having a LGA-fetus. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
umbilical artery, umbilical vein, gestational diabetes, pregestational, diabetes, fetal growth, LGA
in
Ginekologia Polska
volume
85
issue
11
pages
810 - 814
publisher
Studio K
external identifiers
  • wos:000346330600002
  • scopus:84924721911
ISSN
0017-0011
language
English
LU publication?
yes
id
d99abdba-4b4d-4a2c-9272-e753afd5f65b (old id 4950631)
date added to LUP
2015-01-29 11:26:19
date last changed
2017-01-01 05:25:52
@article{d99abdba-4b4d-4a2c-9272-e753afd5f65b,
  abstract     = {Objective: A voluminous umbilical cord has been described in diabetic pregnancies. The aim of this study was to see if measurements of cord diameters might be of value in the evaluation of diabetic pregnancies and especially those suspected of a large for gestational age (LGA) fetus. Methods: In an observational, prospective study umbilical cord areas and vessel diameters were measured between gestational age of 22 and 40 weeks in transverse ultrasound images of the central part of the cord in 141 normal and 135 diabetic pregnancies of which 30 were suspected of being LOA. Wharton's jelly area was calculated by subtracting the vessel area from the total transverse cord area. Normal reference curves were constructed for gestational age. Results: Umbilical cord and Wharton's jelly areas increased with gestation. The vessel area leveled out at 32-33 weeks of gestation and the umbilical vein area decreased after 36 weeks of gestation. The umbilical cord parameters in diabetic pregnancies did not differ from controls. Cord areas were enlarged in 1/3 of the LGA fetuses. Conclusion: Umbilical cord area measurements are of limited value for the evaluation of diabetic pregnancies suspected having a LGA-fetus.},
  author       = {Pietryga, Marek and Brazert, Jacek and Wender-Ozegowska, Ewa and Zawiejska, Agnieszka and Brazert, Maciej and Dubiel, Mariusz and Gudmundsson, Saemundur},
  issn         = {0017-0011},
  keyword      = {umbilical artery,umbilical vein,gestational diabetes,pregestational,diabetes,fetal growth,LGA},
  language     = {eng},
  number       = {11},
  pages        = {810--814},
  publisher    = {Studio K},
  series       = {Ginekologia Polska},
  title        = {Ultrasound measurements of umbilical cord transverse area in normal pregnancies and pregnancies complicated by diabetes mellitus},
  volume       = {85},
  year         = {2014},
}