title: Prediction of fetal macrosomia with ultrasound parameters and maternal glycemic controls in gestational diabetes mellitus.
abstract: OBJECTIVE
  Evaluation of ultrasound measurements of fetal adipose subcutaneous tissue (ASCT), abdominal circumference (AC), liver length (LL), and amniotic fluid index (AFI) in prediction of fetal macrosomia (FM) and gestational diabetes mellitus (GDM).
  
  
  METHODS
  In a prospective clinical trial, 280 pregnant women underwent 100 g oral glucose tolerance test (oGTT) at 28th week of gestation (wg) and measurements ofAC, LL, AFI, and ASCT at 32nd, 34th, 36th, and 38th wg.
  
  
  RESULTS
  For GDM, the best sensitivity was achieved by ACST at 32nd and 34th wg, the best specificity by LL at 32nd wg (90.6%), the best area under the curve (AUC) by LL at 34th wg (0.944). For FM the best sensitivity was achieved by AC at 32th, 34th, 36th, and 38th wg and by ASCT at 34th wg (94.2%), and the best AUC at 38th wg for AC (0.974).
  
  
  CONCLUSIONS
  Ultrasound parameters of glycemic control were good predictors of FM and GDM.
authors: Clinical Centre of Serbia, Institute of Gynecology and Obstetrics, Faculty of Medicine Belgrade, University of Belgrade, Serbia. miroslavagojnicdugalic@yahoo.com
authors: M
authors: M
authors: Gojnic
authors: T
authors: T
authors: Stefanovic
authors: M
authors: M
authors: Perovic
authors: B
authors: B
authors: Arsic
authors: E
authors: E
authors: Garalejic
authors: J
authors: J
authors: Micic
authors: Z
authors: Z
authors: Maricic
authors: R
authors: R
authors: Ratkovic
authors: A
authors: A
authors: Ljubic
mesh_terms: D000653:Amniotic Fluid; D001786:Blood Glucose / Q000032:analysis*; D016640:Diabetes, Gestational / Q000097:blood*; D005260:Female; D005320:Fetal Macrosomia / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000196:embryology; D011247:Pregnancy; D012372:ROC Curve; D012680:Sensitivity and Specificity; D050151:Subcutaneous Fat / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal
chemical_list: D001786:Blood Glucose