Article Published In Vol.4 (March-April-2016)

Sonographic Evaluation of Amniotic Fluid Volume in Diabetic Pregnant Women among Sudanese Population

Author : Gofran H. Osman, Abd Elrahim and Ala.M. Abd Elgyoum

Introduction: Amniotic fluid is the fluid in amniotic cavity bathing the fetus and is solution in which undissolved material is suspended, normal amount of amniotic fluid is important for normal fetal growth and development.
Objectives: The aim of this study is to evaluate amniotic fluid volume in diabetic pregnant Sudanese women to show the effect of diabetes on amniotic fluid volume, fetus and mother.
Materials & Methods: This study was practical, Observational, descriptive, analytical, cross sectional study deal with Sonographic Evaluation of Amniotic Fluid Volume in Diabetic Pregnant Women among Sudanese Population in Alshaikh Fadol teaching hospital and Omdurman military hospital, from February 2014 till July 2014. Hundred diabetic pregnant women were scanned.
Results: The data was collected, classified, analyzed by using Specific package for statistical science (SPSS) and the study found that the most patients had polyhydraminous by 54%, and 46% for normal amniotic fluid measurement, and the greatest value of polyhydraminous 75.8% was in gestational diabetes type, followed by 18.6% of polyhydraminous in insulin dependent type, and the lowest value of polyhydraminous 5.6% was in non-insulin dependent type.
Conclusion: There was positive correlation between diabetic and polyhydraminous 54% especially in gestational diabetes 75.8%. There was no correlation between polyhydraminous and fetal macrosomia 22.2%. Also there was no correlation between polyhydramnius and premature rupture of membrane 1.9% and maternal respiratory distress 22.2%. And there was no correlation between polyhydraminous and duration of diabetes (<5years which was least duration was 83.3%)
Recommendation: Special care must be done in every antenatal visit which includes measurements of amniotic fluid volume by both single vertical pocket method and four –quadrant amniotic fluid index method, estimate fetal weight to exclude macrosomia and assesses maternal conditions for premature rupture of membrane and maternal respiratory distress to avoid these complications.

Keywords: Sonographic Evaluation, Amniotic Fluid etc.