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Evaluation of Amniotic Fluid Volume among Sudanese Diabetic Patients in Third Trimester Using Ultrasound

Received: 24 August 2013     Published: 30 October 2013
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Abstract

Assessment of amniotic fluid volume in diabetic pregnancies is important for maternal and fetus health judgment and pregnancy outcome and for this reason the purpose of this study is relevant using two ultrasonographic methods. The study included 49 Sudanese pregnant women with diabetes mellitus and 20 subjects as control group .The study was conducted at Omdurman Military hospital and Al -Saudi hospital in the period from December 2011 to April 2012. Ultrasound was done by using Mindray 6600, 2200 ultrasound machine fitted with 3.5 MHZ convex probe. Amniotic fluid volume (AFV) was measured by largest pocket and Amniotic fluid index (AFI) .The mean AFI for control group was found to be (16.6±2.4) and the largest pocket was (6.6±0.7),for diabetic sample AFI was (20.3±5.6), largest pocket was (7.4±1.9).T-test showed that AFI was found to be 4.66 at p <0.001, largest pocket was 2.93 at p-value 0.005. There is significant difference between AFI measurements and largest pocket for diabetic pregnant ladies compared to the control group.Measurements of AFV using ultrasound compared with type of diabetic and diabetic status is of great value to categorize the relative risk of complications related to diabetes.

Published in International Journal of Medical Imaging (Volume 1, Issue 2)
DOI 10.11648/j.ijmi.20130102.13
Page(s) 26-31
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Diabetes, Amniotic Fluid Volume, Ultrasound

References
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[2] E Murray et al..Assessment of foetal growth size and well being. A guide to effective care in pregnancy and child birth. 3rd ed. Oxford university press2000; 80 – 92.
[3] Desai pan kay et al.Decrease of amniotic fluid index in low – risk pregnancy. Any significance? J obstet Gynecol Ind; 2004; 54(5) 464 – 466.
[4] Trish Chudleigh, basky thilaganthan. obstetric ultrasound (how why and when), third edition, endburgh London New York, 2004;page 14
[5] TR Moore, JE Cayle..The AFI in normal human pregnancy. Am J Obstet Gynaecol; 1990; 162:1168–73.
[6] EC Nwosu, CR Welch PR Manasse..Longitudional assessment of amniotic fluid index. Br J Obstet Gynaecol; 1993; 100:816–9.
[7] M Hallak, B Kirshan, EO Smith, DV Cotton.Amniotic fluid index; gestational age specific values for normal human pregnancy. J Reprod Med; 1993; 38:853–5.
[8] JL Kitzmiller. Sweet success with diabetes. The development of insulin therapy and glycaemic control for pregnancy. Diabetes Care 16[Suppl 3]1993:107-121
[9] DR Coustan. Gestational diabetes. Diabetes Care 16[Suppl 3]: 1993;8-15.
[10] BM Casey, MJ Lucas, DD McIntire, Leveno KJ Pregnancy outcomes in women with gestational diabetes compared with the general obstetric population. Obstet Gynecol 1997;90: 869-873.
[11] L Cordero, MB Landon ..Infant of the diabetic mother .Clin Perinatol 1993;20: 635-647
[12] M Hod, Merlob, S Friedman, A Schoenfeld, J Ovadia.Gestational P diabetes mellitus. A survey of perinatal complications in the 1980 s. Diabetes 40[Suppl 2] 1991;74-78
[13] SS Khwaja, SA Uduman, H Al-Sibai, SA Al-Suleiman .The oversized infant. A study of 86 cases. Aust NZ J Obstet Gynaecol 1986;26: 22-25
[14] HF Ever et al. Comparability of the amniotic fluid index and single deepest pocket measurements in clinical practice. Aus and NJ J of obstet Gynecol 2003;43: 75-77
[15] JP Phelon, M Ahn, CU Smith, SE Rutherford.Amniotic fluid index in normal human pregnancies. Report Med 1987; 32:601–4.
[16] EF Magann, TE Nolan, LW Hess, RW Martin, NS Whitworth, JC Morrison. Measurement of amniotic fluid volume; accuracy of ultrasound techniques. Am J Obstet Gynaecol; 1992,167:1363
[17] D Gramellini, L Delle Chiaie, G Piantelli, L Sansebastiano, S Fieni, E Vadora..Sonographic assessment of amniotic fluid volume between 11 and 24 weeks of gestation: construction of reference intervals related to gestational age. Ultrasound Obstet Gynecol 2002; 17:410–5.
[18] DTD Osmond, C J Nolan, RG King, S.P Brennecke, NM Gude. Effects of gestational diabetes on human placental glucose uptake, transfer, and utilization Diabetologia 2000;43: 576-582
[19] TR Varma, S Bateman, RH Patel, G.V.P Chamberlain, U. Pillai. Ultrasound evaluation of amniotic fluid: outcome of pregnancies with severe oligohydramnios Department of Obstetrics and Gynaecology1987.
[20] L Sandra hagen .Asert textbook of diagnostic ultrasonography, fourth edition, 1995.
[21] JP Phelan, MO Ahn, CVSmith, S.E Rutherford, E. Anderson. Amniotic Fluid Index measurements during pregnancy, J Reprod Med 1987;32(8), 601- 604
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  • APA Style

    Elsafi Ahmed Abdalla, Caroline Edward Ayad, Rian Omer Massaad Elbasheer, Amel Gadal. (2013). Evaluation of Amniotic Fluid Volume among Sudanese Diabetic Patients in Third Trimester Using Ultrasound. International Journal of Medical Imaging, 1(2), 26-31. https://doi.org/10.11648/j.ijmi.20130102.13

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    ACS Style

    Elsafi Ahmed Abdalla; Caroline Edward Ayad; Rian Omer Massaad Elbasheer; Amel Gadal. Evaluation of Amniotic Fluid Volume among Sudanese Diabetic Patients in Third Trimester Using Ultrasound. Int. J. Med. Imaging 2013, 1(2), 26-31. doi: 10.11648/j.ijmi.20130102.13

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    AMA Style

    Elsafi Ahmed Abdalla, Caroline Edward Ayad, Rian Omer Massaad Elbasheer, Amel Gadal. Evaluation of Amniotic Fluid Volume among Sudanese Diabetic Patients in Third Trimester Using Ultrasound. Int J Med Imaging. 2013;1(2):26-31. doi: 10.11648/j.ijmi.20130102.13

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  • @article{10.11648/j.ijmi.20130102.13,
      author = {Elsafi Ahmed Abdalla and Caroline Edward Ayad and Rian Omer Massaad Elbasheer and Amel Gadal},
      title = {Evaluation of Amniotic Fluid Volume among Sudanese Diabetic Patients in Third Trimester Using Ultrasound},
      journal = {International Journal of Medical Imaging},
      volume = {1},
      number = {2},
      pages = {26-31},
      doi = {10.11648/j.ijmi.20130102.13},
      url = {https://doi.org/10.11648/j.ijmi.20130102.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20130102.13},
      abstract = {Assessment of amniotic fluid volume in diabetic pregnancies is important for maternal and fetus health judgment and pregnancy outcome and for this reason the purpose of this study is relevant using two ultrasonographic methods. The study included 49 Sudanese pregnant women with diabetes mellitus and 20 subjects as control group .The study was conducted at Omdurman Military hospital and Al -Saudi hospital in the period from December 2011 to April 2012. Ultrasound was done by using Mindray 6600, 2200 ultrasound machine fitted with 3.5 MHZ convex probe. Amniotic fluid volume (AFV) was measured by largest pocket and Amniotic fluid index (AFI) .The mean AFI for control group was found to be (16.6±2.4) and the largest pocket was (6.6±0.7),for diabetic sample AFI was (20.3±5.6), largest pocket was (7.4±1.9).T-test showed that AFI was found to be 4.66 at p <0.001, largest pocket was 2.93 at p-value 0.005. There is significant difference between AFI measurements and largest pocket for diabetic pregnant ladies compared to the control group.Measurements of AFV using ultrasound compared with type of diabetic and diabetic status is of great value to categorize the relative risk of complications related to diabetes.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Amniotic Fluid Volume among Sudanese Diabetic Patients in Third Trimester Using Ultrasound
    AU  - Elsafi Ahmed Abdalla
    AU  - Caroline Edward Ayad
    AU  - Rian Omer Massaad Elbasheer
    AU  - Amel Gadal
    Y1  - 2013/10/30
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    N1  - https://doi.org/10.11648/j.ijmi.20130102.13
    DO  - 10.11648/j.ijmi.20130102.13
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 26
    EP  - 31
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20130102.13
    AB  - Assessment of amniotic fluid volume in diabetic pregnancies is important for maternal and fetus health judgment and pregnancy outcome and for this reason the purpose of this study is relevant using two ultrasonographic methods. The study included 49 Sudanese pregnant women with diabetes mellitus and 20 subjects as control group .The study was conducted at Omdurman Military hospital and Al -Saudi hospital in the period from December 2011 to April 2012. Ultrasound was done by using Mindray 6600, 2200 ultrasound machine fitted with 3.5 MHZ convex probe. Amniotic fluid volume (AFV) was measured by largest pocket and Amniotic fluid index (AFI) .The mean AFI for control group was found to be (16.6±2.4) and the largest pocket was (6.6±0.7),for diabetic sample AFI was (20.3±5.6), largest pocket was (7.4±1.9).T-test showed that AFI was found to be 4.66 at p <0.001, largest pocket was 2.93 at p-value 0.005. There is significant difference between AFI measurements and largest pocket for diabetic pregnant ladies compared to the control group.Measurements of AFV using ultrasound compared with type of diabetic and diabetic status is of great value to categorize the relative risk of complications related to diabetes.
    VL  - 1
    IS  - 2
    ER  - 

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Author Information
  • Radiology and Ultrasound Department, College of Medical Radiological Science, Sudan University of Science and Technology, Khartoum, Sudan

  • Radiology and Ultrasound Department, College of Medical Radiological Science, Sudan University of Science and Technology, Khartoum, Sudan

  • Radiology Department, Khartoum Hospital, Khartoum, Sudan

  • Radiology and Ultrasound Department, College of Medical Radiological Science, Sudan University of Science and Technology, Khartoum, Sudan

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