Alkan F.Oncel Alanyali M.Artunc Ulkumen B.Coskun S.2024-07-222024-07-2220232724606Xhttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12013BACKGROUND: We aimed to evaluate the fetal cardiac functions with Myocardial Performance Index (MPI) in gestational diabetes mellitus (GDM). METHODS: In this study, 35 patients who were diagnosed with GDM, and 35 pregnant without glucose intolerance and their babies were evaluated. Fetal echocardiographic, biometric measurements, umbilical artery pulsatility indices (UAPI) and ductus venosus pulsatility indices (DVPI) measurements were performed to evaluate fetal well-being between the groups. RESULTS: There was no statistically significant difference between the groups in terms of UAPI, DVPI, systolic functions, the mode of delivery and 5-minute APGAR scores (P=0.849, P=0.485, P=0.770, P=0.060, P=0.587). There was statistically significant difference between the isovolumetric relaxation time and isovolumetric contraction time of groups (P=0.006, P=0.03). The MPI results were statistically different between the groups (P=0.000). Postpartum need for hospitalization was more frequently observed in GDM than the control group (P=0.014). CONCLUSIONS: MPI, which is independent of the ventricular anatomy and fetal heart rate, showing both diastolic and systolic functions, was found significantly higher in GDM. We recommend performing MPI measurement routinely to fetal cardiac functions in GDM. Copyright © 2023 Edizioni Minerva Medica.EnglishDiabetes, GestationalEchocardiographyFemaleFetal HeartHumansPostpartum PeriodPregnancyPrenatal CareadultApgar scoreArticlebiparietal distancebirth weightclinical articlecontrolled studydiastolic blood pressureductus venosusechocardiographyfemalefetal well beingfetusfetus heart ratefollow upgestational agegestational diabetesglucose intolerancegynecologyheart functionheart performancehospitalizationhumanmenstrual cyclemitral valve regurgitationmyocardial performance indexoral glucose tolerance testpulmonary aspirationrelaxation timesubvalvular aortic stenosissystolic blood pressureumbilical arterydiagnostic imagingfetus heartphysiologypregnancypregnancy diabetes mellitusprenatal careprocedurespuerperiumArticle10.23736/S2724-606X.21.04941-1