Doppler ultrasound of the ductus venosus in diabetic pregnancies

Saleh  SS; Khalifa H. Khalifa

doi:10.35192/jjoas-n.v17i1.1804

Saleh SS Faculty of Medicine, Ain shams University, Egypt
Khalifa H. Khalifa Faculty of medicine Mansura University, Egypt.

DOI: https://doi.org/10.35192/jjoas-n.v17i1.1804

Abstract

Background: Given the rise in the number of pregnancies with diabetes, a straightforward and trustworthy approach for monitoring the fetal cardiovascular system, which may be a target for negative consequences from maternal hyperglycemia, must be developed. This study aimed to investigate the potential role of ductus venosus Doppler velocities in Diabetic pregnant ladies.

Methods: As a control group, 40 pregnant women with normal pregnancies were matched with 40 diabetic individuals in their third trimester. Every patient underwent a comprehensive history taking, physical examination, laboratory analysis of their HbA1c, and Doppler ultrasonography evaluation of their ductus venosus.

Results: The 5-minute Apgar score was lower, the babies were born weighing more, and the moms with diabetes had higher BMIs. In relation to the Doppler evaluation of the ductus venosus (DV). All DV indicators, including the pulsatility index, preload index, and peak velocity index for the vein, were significantly higher in cases than in controls. All of the DV indices were higher in the study's diabetic subjects who had poor diabetes control. Additionally, there was a strong correlation between preload index and pulsatility index and pre-gestational diabetes. The pulsatility index and preload index of neonates with low 5-min Apgar scores were considerably higher than those of newborns with normal 5-min Apgar scores.

Conclusion: The ductus venosus Doppler values in diabetic pregnancies differed significantly from those in non-diabetic controls, which may have implications for the fetus's heart functions.

Keywords: Diabetes mellitus, ductus venosus, Pregnancy