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Minerva Obstetrics and Gynecology 2021 Sep 21

DOI: 10.23736/S2724-606X.21.04941-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Evaluation of the effect of gestational diabetes mellitus on fetal cardiac functions with myocardial performance index

Fatos ALKAN 1 , Merve O. ALANYALI 2, Burcu A. ULKUMEN 3, Senol COSKUN 1

1 Department of Pediatric Cardiology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey; 2 Department of Pediatrics, Faculty of Medicine, Celal Bayar University School of Medicine, Manisa, Turkey; 3 Perinatology Division, Obstetrics and Gynecology Department, Celal Bayar University School of Medicine, Manisa, Turkey


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OBJECTIVE: We aimed to evaluate the fetal cardiac functions with myocardial performance index( MPI) in gestational diabetes mellitus (GDM).
MATERIALS AND METHODS: In this study, 35 patients who were diagnosed with GDM and 35 pregnant without glucose intolerance and their babies were evaluated. Fetal echocardiographic, biometric measurements, umbilical artery pulsatility indices (UAPI) and ductus venosus pulsatility indices (DVPI) measurements were performed to evaluate fetal well-being between the groups.
RESULTS: There was no statistically significant difference between the groups in terms of UAPI, DVPI, systolic functions, the mode of delivery and 5-minute APGAR scores (p = 0.849, p = 0.485, p = 0.770, p=0.060, p=0.587). There was statistically significant difference between the isovolumetric relaxation time and isovolumetric contraction time of groups (p=0.006, p = 0.03). The MPI results were statistically different between the groups (p = 0.000). Postpartum need for hospitalization was more frequently observed in GDM than the control group (p = 0.014).
DISCUSSION AND CONCLUSIONS: MPI, which is independent of the ventricular anatomy and fetal heart rate, showing both diastolic and systolic functions, was found significantly higher in GDM. We recommend perform MPI measurement routinely to fetal cardiac functions in GDM.


KEY WORDS: Fetal heart; Gestational diabetes mellitus; Myocardial performance index

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