All issues > Volume 42(3); 1999

Original Article

J Korean Pediatr Soc. 1999;42(3):339-347. Published online March 15, 1999.

Anthropometric Measurement of Newborn in Women with Gestational Diabetes Mellitus

Kyung Hoon KH Kang¹, Seong Won SW Yang¹, Hye Kyung HK Han¹, Woo Gill WG Lee¹, Mi Na MN Lee¹, Hak Chul HC Jang², Il Soon IS Hwang², Eun Sung ES Kim³

¹Department of Pediatrics, Samsung Cheil Hospital, College of Medicine, Sungkyunkwan University, Seoul, Korea
²Department of Medicine, Samsung Cheil Hospital, College of Medicine, Sungkyunkwan University, Seoul, Korea
³Department of Obstetrics & Gynecology, Samsung Cheil Hospital, College of Medicine, Sungkyunkwan University, Seoul, Korea

Abstract

Purpose
: To find the anthropometric characteristics of newborn in women with gestational diabetes mellitus(GDM), and the relationship between the birth weight and anthropometric measurements of newborn, maternal body habitus and glycemic control in GDM group.
Methods
: Maternal weight, height, and obstetric history of 82 women with GDM and 93 women with normal glucose tolerance were recorded at the time of screening test and delivery. Within 2 days after birth, the birth weight and anthropometric measurements were obtained, and maternal glycohemoglobin concentrations were measured and umbilical cord blood samples for C-peptide were collected in GDM group at delivery.
Results
: There were no differences in the birth weight and frequency of LGA newborn between GDM and control group, although the primary C-section of GDM group was significantly higher compared with the control group. The abdominal circumference(AC) and triceps, subscapular, and thigh skinfold thickness(SFT) of newborn in GDM group were significantly increased compared with the control group. Maternal glycohemoglobin concentration was correlated with birth weight, but not with AC and three SFTs in GDM group. Umbilical cord blood C-peptide level had a correlation with birth weight and three SFTs in GDM group. Newborn's AC had a correlation with maternal weight and weight gain in GDM group, but not in control group.
Conclusion
: Although the birth weight and frequency of LGA did not differ, AC and triceps, subscapular, and thigh SFT were increased in GDM group. These increases of anthropometric measurements were observed in AGA newborn, and were greater in LGA newborn.

Keywords :Gestational diabetes, Anthropometric measurement, Newborn, Hyperinsulinemia