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4D assessment of fetal brain function in diabetic patients

  • Panagiotis Antsaklis EMAIL logo , Selma Porovic , George Daskalakis and Asim Kurjak
Published/Copyright: March 17, 2017

Abstract

Objective:

To assess whether there is a difference in the behavior of fetuses of pregnant women with diabetes under treatment with insulin, compared to fetuses of pregnant women without diabetes.

Materials and methods:

Kurjak’s antenatal neurodevelopmental test (KANET) – a method that, by application of four-dimensional (4D) ultrasound, assesses fetal behavior in a similar way that neonatologists perform a neurological assessment in newborns – was applied from 28 to 38 weeks of gestation to 40 pregnancies with pre-existing diabetes mellitus or gestational diabetes mellitus (GDM) requiring insulin (diabetic group) and to 40 non-diabetic cases, with otherwise low-risk pregnancies (non-diabetic group).

Results:

There were no statistically significant differences regarding maternal age (30.5±5.1 years for diabetic group vs. 29.8±6.2 years for non-diabetic group) and gestational age (32±1.6 weeks for the diabetic group compared to 33±1.2 weeks for the non-diabetic group). After analysis of the results obtained from application of KANET to each group, results of KANET had higher scores in the non-diabetic group.

Conclusion:

It appears that there are differences in the fetal behavior between diabetic and non-diabetic fetuses, and also the specific parameters – movements that were different between the two groups were identified.

  1. Author’s Statement

  2. Conflict of interest: Authors state no conflict of interest.

  3. Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

  4. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

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Received: 2016-12-4
Accepted: 2017-1-30
Published Online: 2017-3-17
Published in Print: 2017-8-28

©2017 Walter de Gruyter GmbH, Berlin/Boston

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