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RESEARCH PRODUCT

Effects of prandial glycemic changes on objective fetal heart rate parameters

Jesús CerveraAlfredo PeralesMilagros JareñoPascuala SarriónJosé BellverRosa CamaraVicente Serra-serra

subject

medicine.medical_specialtyPregnancymedicine.diagnostic_testbusiness.industryObstetricsdigestive oral and skin physiologyGlucose MeasurementObstetrics and GynecologyGeneral Medicinemedicine.diseaseGestational diabetesPostprandialEndocrinologyInternal medicineDiabetes mellitusembryonic structuresHeart ratemedicineCardiotocographybusinessGlycemic

description

Background. There is confusion in the literature about the potential effect of maternal glucose levels on the fetal heart rate (FHR) cardiotocographic interpretation.Methods. Study design: prospective clinical descriptive study. Subjects: 21 pregnant women with diabetes mellitus, 23 women with gestational diabetes and 18 healthy non-diabetic pregnant volunteers (control group). Treatment: maternal capillary glucose measurement and objective FHR analysis (Oxford System 8002) pre- and 1 h post-meal. Statistical analysis: descriptive statistics, Student t-tests and Pearson correlation studies.Results. Maternal capillary glucose levels ranged between 2.7–10.5 mmol/l pre-meal and 4.2–14.8 mmol/l post-meal. The differences between objective FHR parameters pre- and post-meal were not significant in any of the groups of women studied. No correlation was found between prandial glycemic and FHR changes. Women with optimal and suboptimal glycemic control exhibited similar objective FHR parameters pre- and post-meal....

https://doi.org/10.1034/j.1600-0412.2000.079011953.x