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首页> 外文期刊>Journal of diabetes research. >The Relationship between Fetal Abdominal Wall Thickness and Intrapartum Complications amongst Mothers with Pregestational Type 2 Diabetes
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The Relationship between Fetal Abdominal Wall Thickness and Intrapartum Complications amongst Mothers with Pregestational Type 2 Diabetes

机译：胎儿腹壁厚度与母亲之间的关系，母亲与母亲的母亲，术术2型糖尿病

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Objectives . To evaluate the utility of fetal abdominal wall thickness (AWT) for predicting intrapartum complications amongst mothers with pregestational type 2 diabetes. Methods . This was a historical cohort study of pregnant mothers with pregestational type 2 diabetes delivering at a Canadian tertiary-care center between January 1, 2014, and December 31, 2018. Delivery records were reviewed to collect information about demographics and peripartum complications. Stored fetal ultrasound images from 36 weeks’ gestation were reviewed to collect fetal biometry and postprocessing measurement of AWT performed in a standardized fashion by 2 blinded and independent observers. The relationship between fetal AWT was then correlated with risk of intrapartum complications including emergency Caesarean section (CS) and shoulder dystocia. Results . 216 pregnant women with type 2 diabetes had planned vaginal deliveries and were eligible for inclusion. Mean maternal age was 31.3 years, and almost all were overweight or obese at the time of delivery (96.8%). Overall, the incidence of shoulder dystocia and emergency intrapartum CS was 7.4% and 17.6%, respectively. There was no difference in mean fetal AWT between those having a spontaneous vaginal delivery (8.2?mm (95% CI 7.9-8.5)) and those needing emergency intrapartum CS (8.1?mm (95% CI 7.4-8.8); ) or shoulder dystocia (8.7?mm (95% CI 7.9-9.5); ). There was strong interobserver correlation of AWT measurements ( ; ). The strongest association with intrapartum complications was birthweight ( ): with grams, the relative risk of shoulder dystocia or CS is 2.75 (95% CI 1.74-4.36; ). Conclusions . There was no obvious benefit of AWT measurement at 36 weeks for predicting shoulder dystocia or intrapartum CS amongst women with type 2 diabetes in our population. The strongest predictor of intrapartum complications remained birthweight, and so studies for improving estimation of fetal weight and evaluating the role of intrapartum ultrasound for predicting risk of delivery complications are still needed.
机译：目标。评估胎儿腹壁厚度（AWT）的效用，以预测母亲的母亲在母亲中预测母亲的母亲2型糖尿病。方法 。这是孕母亲的历史队列，孕育母亲在2014年1月1日至2018年1月1日至12月31日之间在加拿大第2型糖尿病中举行的孕育母亲。审查了交货记录，收集有关人口统计和围属并发症的信息。综述了36周的妊娠从36周的妊娠以来，以收集胎儿生物生物学和后处理以标准化的方式进行2个盲化和独立观察员。胎儿AWT之间的关系随后与包含紧急剖腹产（CS）和肩膀梗死的内胆并发症的风险相关。结果 。 216型患有2型糖尿病的孕妇计划了阴道递送，并有资格包含。平均孕产妇年龄为31.3岁，几乎所有人都在交付时超重或肥胖（96.8％）。总体而言，肩腹部和急诊内核Cs的发病率分别为7.4％和17.6％。在具有自发阴道递送的人之间的平均胎儿AWT没有差异（8.2毫秒（95％CI 7.9-8.5））和需要急诊癌症CS的那些（8.1？mm（95％CI 7.4-8.8）;）或肩膀白科病（8.7？mm（95％CI 7.9-9.5）;）。 AWT测量有强烈的Interobserver相关性（;）。最强大的与土坎并发症的关联是出生重量级（）：克克，肩腹虫或Cs的相对风险为2.75（95％CI 1.74-4.36;）。结论。在36周内没有明显的效益，以预测我们人口2型糖尿病的女性中的肩膀数据或脑内CS。仍然需要仍然具有增生的胎儿重量的最强预测因素，因此仍然需要改善胎儿体重估计和评估胎儿超声以预测产量并发症风险的研究。

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