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Original Articles

Measuring fetal thymus size: a new method for diabetes screening in pregnancy

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Pages 1157-1161 | Received 07 Feb 2018, Accepted 26 Aug 2018, Published online: 25 Sep 2018
 

Abstract

Objective: To investigate the correlation between fetal thymus size and diabetes in pregnancy.

Method: Fetal thymus size was assessed in 160 pregnant women with gestational age of 19–39 weeks. They included 80 diabetic (investigation group) and 80 nondiabetic (control group) women. Fetal thymus size was measured by thymic–thoracic ratio. We did this with dividing the thymus’ anteroposterior diameter by anteroposterior of mediastinum.

Results: Thymic–thoracic ratio was significantly smaller in fetuses of diabetic mothers compared to the nondiabetic group (p = .001). It remained significant after subgrouping diabetic mothers into overt diabetes, insulin-dependent gestational diabetes, and noninsulin-dependent gestational diabetes.

Conclusion: Although thymus size was smaller in fetuses of diabetic pregnant women compared to nondiabetic pregnant women, it seems that thymic–thoracic ratio can be a predictor of diabetes and its other related adverse effects during pregnancy.

Acknowledgements

The authors thank Mamak Shariat for analyzing the data and Muhammed Hussein Mousavinasab for his sincere cooperation in editing this text.

Ethics approval

Written informed consents were obtained from the participants before their participation in the study. A copy of each written consent is available for review by the editor-in-chief of this journal. The study was approved by ethics committee of our university (No: IR.TUMS.IKHC.REC.1396.420).

Disclosure of interest

No potential conflict of interest was reported by the authors.

Availability of data and materials

All relevant data is available at Imam Khomeini Hospital, Tehran.

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