Fetal pancreatic echogenicity in gestational diabetes meliitus Fetal pancreas Pancreatic echogenicity Fetal pancreatic sonogram Gestational diabetes mellitus
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1.Singleton pregnancies between 24 and 28 weeks of gestation 2.Accurate gestational age confirmed before 20 weeks of gestation 3.Will apply for two-step test for GDM
Exclusion criteria
Exclusion criteria: 1.Fetal anomalies or chromosome abnormalities 2.Pregestational DM 3.GDM diagnosed before 24 weeks of gestation 4.Underlying disease of carbohydrate or lipid metabolism 5.Poor imaging of fetal pancreas on USG examination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of GDM After the ultrasound examination until delivery Two-step approach: 50g GCT cut-off at 140 mg/dL, 100g OGTT with Carpenter and Coustan criteria | — |
Secondary
| Measure | Time frame |
|---|---|
| HbA1C level On the day of enrollment Blood test,Pancreatic size On the day of enrollment Ultrasound examination of fetal pancreatic circumference, AP and transverse diameter, measured by free-hand trace method,Pancreatic volume On the day of enrollment 3D-ultrasound examination, processed with Virtual Organ Computer-Aided Analysis (VOCAL) software (GE Healthcare) using step rotation of 30 degrees in 6 planes,Gestational age at delivery At delivery Medical record,Mode of delivery At delivery Medical record,Birth weight and length At delivery Medical record,APGAR score At delivery Medical record,Neonatal hypoglycemia At delivery Medical record | — |
Countries
Thailand
Contacts
King Chulalongkorn Memorial Hospital