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COMPUTERIZED ANALYSES OF FETAL HEART RATE IN PREGNANCIES COMPLICATED BY GESTATIONAL DIABETES

Busicchio

Abstract: OBJECTIVE We evaluated the value of computerized CTG in pregnancies complicated by gestational diabetes mellitus (GDM). PURPOSE OF STUDY We studied FHR recordings from 100 pregnant women affected by GDM on diet therapy, 60 pregnant women affected by GDM on insulin therapy and 100 normal pregnant controls. The results were compared among the groups and related to neonatal umbilical artery cord blood analysis at birth. RESEARCH DESIGN AND METHODS Baseline FHR and the duration of episodes of low variation were significantly higher in diabetic than in controls and were negatively related to umbilical artery glycemia at birth, whereas the short-term variation in diabetics was significantly lower than in controls and was positively related to. CONCLUSIONS Our study demonstrates that GDM does impact FHR. The alteration is slight but evident; it reflects fetal well being and correlate with neonatal reactivity. Only computerized cardiotocography may allow to detect those slight but significant differences.

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