Evaluation of Fetal Diaphragm Excursion and Thickness in Term
Pregnancies Complicated with Pre-gestational and Gestational Diabetes
Mellitus
Abstract
Abstract Aim: Both pre-gestational (PGDM) and gestational diabetes
mellitus (GDM) make pregnancy complicated. Moreover in literature GDM
and PGDM have been accused for respiratory morbidity in newborns.
Diaphragm ultrasound (DUS) is useful and noninvasive method that
provides an opportunity to examination of the diaphragmatic morphology
and function. This study examined quality of fetal diaphragmatic
contractions in pregnant women complicated with GDM and PGDM. Materials
and Methods: A total of 105 volunteers separated into 3 groups; (1) GDM
group (n=35), (2) PGDM group (n=35), and (3) healthy non-diabetic
control group (n=35). Thickness of fetal diaphragm (DT), diaphragmatic
excursion (DE), diaphragm thickening fraction (DTF) and
costodiaphragmatic angle (CDA) was measured on the video frame during
inspiration and expiration phases of respiration. Results: Especially
PGDM group represented adversely affected diaphragm measurement
parameters. DT inspiration, DT expiration, DE, CDA inspiration and DTF
values were significantly different between PGDM and control group.
Conclusions: Quality of fetal diaphragm movements affected in
pregnancies complicated with GDM and PGDM. Prolonged duration of
diabetes may have additional adverse effects on diaphragm morphology and
its function.