ROLE OF ULTRASOUND AND DOPPLER IN PREDICTING PERINATAL OUTCOME IN PATIENTS WITH IMPAIRED GLUCOSE TOLERANCE OR GESTATIONAL DIABETES MELLITUS.

Gupta Shally*

ABSTRACT

Aim: The aim of our study was to find the role of ultrasound and Doppler indices in predicting perinatal outcome in patients with impaired glucose tolerance (IGT) or gestational diabetes mellitus (GDM). Methods and Materials: The prospective study was conducted on 30 Patients with GDM, 30 controls, and 12 patients with IGT over one year period. Doppler and ultrasound were performed at 28-32 weeks of gestation. Perinatal Outcome was recorded. Statistical analysis was performed by chi-square test, Fishers exact test, ANOVA and other appropriate tests. Results: Most patients in IGT group had normal UA–PI. All 72 subjects had normal mean uterine artery–PI. MCA-PI between the groups was not significant. More than 60% of women in GDM group had operative delivery as compared to only 26.7% in controls. 10%, 33% and 40% of women required NICU admission in control, IGT and GDM respectively. This difference was statistically significant Conclusions: Women with GDM have adverse pregnancy and neonatal outcome though not significantly different from normal patients if well controlled and under strict medical supervision. Our study concludes Doppler (PI) is not useful in predicting perinatal outcome in GDM.

Keywords: Gestational diabetes, Doppler, Perinatal Outcome, impaired glucose tolerance.