Nasrat H, Abalkhail B, Fageeh W, Shabat A, el Zahrany F
Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
J Matern Fetal Med. 1997 Sep-Oct;6(5):291-5. doi: 10.1002/(SICI)1520-6661(199709/10)6:5<291::AID-MFM10>3.0.CO;2-O.
Anthropometric and skinfold measurements in 51 newborns of mothers with gestational diabetes were compared to reference ranges obtained from measurements of 501 newborns of nondiabetic mothers. In newborns of diabetic mothers, the means of fetal birth weight, biceps, subscapular, suprailiac skinfolds, and total fat index measurements (the sum of all measurements) were significantly greater than those of the nondiabetic group. While the means of fetal crown-heel length and head circumference did not significantly differ between the two groups, these findings suggest a disproportionate pattern of growth in fetuses of diabetic mothers, with increased tendency for deposition of subcutaneous fat. The studied population were then stratified into six categories according to birth weight percentiles. Within each category, the skinfold measurements in newborns of diabetic mothers were greater--though the difference was not statistically significant than that of nondiabetic mothers. It is possible, however, that in severe cases of maternal diabetes, the risks of complications, such as shoulder dystocia, increase with disproportionate deposition of subcutaneous fat. These risks appear greater than in fetuses of nondiabetic mothers at a comparable birthweight.
对51名患有妊娠期糖尿病母亲的新生儿进行人体测量和皮褶测量，并与501名非糖尿病母亲的新生儿测量所得的参考范围进行比较。在糖尿病母亲的新生儿中，胎儿出生体重、肱二头肌、肩胛下、髂上皮肤褶皱和总脂肪指数测量值（所有测量值之和）的均值显著高于非糖尿病组。虽然两组胎儿顶臀长和头围的均值无显著差异，但这些发现表明糖尿病母亲的胎儿生长模式不均衡，皮下脂肪沉积倾向增加。然后根据出生体重百分位数将研究人群分为六类。在每一类中，糖尿病母亲的新生儿皮褶测量值更大——尽管差异无统计学意义——高于非糖尿病母亲的新生儿。然而，在母亲糖尿病严重的情况下，诸如肩难产等并发症的风险可能会随着皮下脂肪的不均衡沉积而增加。在可比出生体重下，这些风险似乎比非糖尿病母亲的胎儿更大。
