Infants of diabetic mothers with accelerated fetal growth by ultrasonography: Are they all alike?

James D. Keller; Boyd E. Metzger; Sharon L. Dooley; Ralph K. Tamura; Rudy E. Sabbagha; Norbert Freinkel

doi:10.1016/0002-9378(90)91091-P

Infants of diabetic mothers with accelerated fetal growth by ultrasonography: Are they all alike?

James D. Keller^*, Boyd E. Metzger, Sharon L. Dooley, Ralph K. Tamura, Rudy E. Sabbagha, Norbert Freinkel

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

We studied longitudinal ultrasonographic growth patterns (abdominal circumference, biparietal diameter) initiated early in gestation in 52 pregnancies complicated by pregestational diabetes mellitus and 19 controls. Three predominant patterns of growth were ascertained including a heretofore unrecognized pattern characterized by accelerated abdominal circumference growth (>90th percentlle) before 24 weeks' gestational age. Maternal and neonatal anthropometric and metabolic parameters were contrasted for the three patterns. The findings suggest that in some cases of diabetic macrosomia that can be recognized before 24 weeks' gestation, augmented growth may be influenced by factors other than fetal hyperinsulinism.

Original language	English (US)
Pages (from-to)	893-897
Number of pages	5
Journal	American journal of obstetrics and gynecology
Volume	163
Issue number	3
DOIs	https://doi.org/10.1016/0002-9378(90)91091-P
State	Published - Sep 1990

Keywords

Evolving macrosomia
amniotic fluid insulin
diabetes mellitus

ASJC Scopus subject areas

Obstetrics and Gynecology

Access to Document

10.1016/0002-9378(90)91091-P

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title = "Infants of diabetic mothers with accelerated fetal growth by ultrasonography: Are they all alike?",

abstract = "We studied longitudinal ultrasonographic growth patterns (abdominal circumference, biparietal diameter) initiated early in gestation in 52 pregnancies complicated by pregestational diabetes mellitus and 19 controls. Three predominant patterns of growth were ascertained including a heretofore unrecognized pattern characterized by accelerated abdominal circumference growth (>90th percentlle) before 24 weeks' gestational age. Maternal and neonatal anthropometric and metabolic parameters were contrasted for the three patterns. The findings suggest that in some cases of diabetic macrosomia that can be recognized before 24 weeks' gestation, augmented growth may be influenced by factors other than fetal hyperinsulinism.",

keywords = "Evolving macrosomia, amniotic fluid insulin, diabetes mellitus",

author = "Keller, {James D.} and Metzger, {Boyd E.} and Dooley, {Sharon L.} and Tamura, {Ralph K.} and Sabbagha, {Rudy E.} and Norbert Freinkel",

note = "Funding Information: From the Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology; Department of Medicine, and Center for Endocrinology, Metabolism and Nutrition,b Northwestern University Medical School. Supported in part try National Institutes of Health Research Grants HD11021, HD19070, RR48, Training Grant DK07169, and a grant from the American Diabetes Association, Northern Illinois Affiliate. Presented at the Tenth AnnlUll Meeting of the Society of Perinatal Obstetricians, Houston, Texas, JanlUlry 23-27, 1990. Reprint requests: James D. Keller, MD, 333 East Superior St., No. 410, Chicago, IL 60611. tDeceased.",

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doi = "10.1016/0002-9378(90)91091-P",

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AU - Dooley, Sharon L.

AU - Tamura, Ralph K.

AU - Sabbagha, Rudy E.

AU - Freinkel, Norbert

N1 - Funding Information: From the Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology; Department of Medicine, and Center for Endocrinology, Metabolism and Nutrition,b Northwestern University Medical School. Supported in part try National Institutes of Health Research Grants HD11021, HD19070, RR48, Training Grant DK07169, and a grant from the American Diabetes Association, Northern Illinois Affiliate. Presented at the Tenth AnnlUll Meeting of the Society of Perinatal Obstetricians, Houston, Texas, JanlUlry 23-27, 1990. Reprint requests: James D. Keller, MD, 333 East Superior St., No. 410, Chicago, IL 60611. tDeceased.

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AB - We studied longitudinal ultrasonographic growth patterns (abdominal circumference, biparietal diameter) initiated early in gestation in 52 pregnancies complicated by pregestational diabetes mellitus and 19 controls. Three predominant patterns of growth were ascertained including a heretofore unrecognized pattern characterized by accelerated abdominal circumference growth (>90th percentlle) before 24 weeks' gestational age. Maternal and neonatal anthropometric and metabolic parameters were contrasted for the three patterns. The findings suggest that in some cases of diabetic macrosomia that can be recognized before 24 weeks' gestation, augmented growth may be influenced by factors other than fetal hyperinsulinism.

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KW - amniotic fluid insulin

KW - diabetes mellitus

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