Sonographic Correlation Between Placental Thickness And Umbilical Cord Morphological Parameters During Third Trimester: Comparison Between Diabetic And Non-Diabetic Pregnancies
Keywords:
Maternal Diabetes, Placental Thickness, Umbilical Cord, Coiling Index, Ultrasound, Fetoplacental CirculationAbstract
Background: The development of the placenta is altered due to maternal diabetes. The placenta has blood flowing between it and the fetus. This exposes them to more risks at birth of the baby. When we compare diabetic pregnancies with non-diabetic pregnancies we do not know much about the influence of maternal diabetes on the thickness of the placenta and the shape of the umbilical cord.
Objective: To compare the placental thickness and umbilical cord morphological parameters between diabetic and non-diabetic pregnancies in the third trimester and to determine their relationship.
Subjects and Methods: A case control study was designed where 140 women were used 71 of them had maternal diabetes and 69 of them did not have maternal diabetes. These women were 28-40 weeks pregnant. We measured the placental thickness of the placenta and the cord diameter and the arteries and veins in the cord using ultrasound. We also checked the body mass index of the mothers and HbA1c. We employed tests to determine whether there were any differences between the two groups of women.
Results: The placenta was thicker in the women with diabetes. The umbilical cord was also bigger and the arteries and veins in the cord were bigger too. The cord was not twisted as much in the women with maternal diabetes. We found that the thickness of the placenta was related to the size of the blood vessels. The twisting of the cord was not related in the same way. The umbilical cord was more likely to be attached in a way in the women with maternal diabetes.
Conclusion: Maternal diabetes changes the way the placenta and the umbilical cord develop. Looking at these things with a machine can help us find problems early and take care of them. This is a way to check on the health of the baby and the mother without hurting them. Maternal diabetes is a condition that can affect the placenta and the umbilical cord. We need to keep studying diabetes to learn more, about it.
