Relation of Maternal Blood Glucose Level, Foetal Cord Blood Glucose and Fetal Birth Weight in Pregnancy Induced Hypertension
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: Pregnancy is a condition where carbohydrate is an important constituent for normal functioning of mother and the foetus. The foetus has been at times described as glucose dependent parasite1 the glucose provides about 100% energy to the foetus. The various literatures over the years has shown deranged carbohydrate metabolism in pregnancy induced hypertension with a greater preponderance for lower blood sugar values in preeclampsia and eclampsia. The foetus in later part of pregnancy is directly dependent on maternal blood glucose level so any lower in its level will affect birth weight. To determine relation between maternal blood glucose at term of PIH patients in relation to foetal cord blood glucose and birth weight. This was a prospective study conducted in the department of Obstetrics and Gynaecology of Gauhati medical college and hospital during the period of 2013-2014. A total of 160 patients were included in the study. Where 100 normal blood pressure patients were served as control and 60 patients with pregnancy induced hypertension were included in the study as cases. Fasting blood glucose level and cord blood sample are measured along with foetal birth weight. There was no significant difference between cases in regarding age and parity. In the study it was found that cord blood glucose was lower than maternal blood glucose levels in all cases. No constant relation could be observed among maternal blood glucose level cord blood glucose and baby birth weight in normal pregnant women. In PIH cases it was observed that maternal blood glucose levels decreased in proportion to the increase in severity of PIH. It was also found that there is direct correlation between among maternal blood glucose level, cord blood glucose and foetal birth weight in PIH cases. Birth weight also decreased with the increase in severity of PIH in our study. Severity of PIH affect blood glucose, cord blood glucose level and birth weight.
Authors and Affiliations
Bipul Prasad Deka, Dimpy Begum
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