Ultrasound measurements of umbilical cord transverse area in normal pregnancies and pregnancies complicated by diabetes mellitus
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4950631
- author
- Pietryga, Marek ; Brazert, Jacek ; Wender-Ozegowska, Ewa ; Zawiejska, Agnieszka ; Brazert, Maciej ; Dubiel, Mariusz and Gudmundsson, Saemundur LU
- organization
- publishing date
- 2014
- 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
- 2016-04-01 13:02:07
- date last changed
- 2022-01-27 08:57:09
@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}},
keywords = {{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}},
}