Diabetes

Updated 23 November 2016

Diabetes or obesity during pregnancy may affect foetal heart

A study found that the heart muscle of the foetuses in obese women and those with diabetes showed changes that weren't seen in the foetuses of healthy women.

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Being obese or having diabetes during pregnancy can affect the heart of the foetus, a new study finds.

But the impact of these changes aren't yet clear, the researchers added.

Special type of ultrasound

The study included 82 pregnant women with diabetes, 26 obese pregnant women and 70 healthy pregnant women.

Read: Gestational diabetes explained 

The heart muscle of the foetuses in obese women and those with diabetes showed changes that weren't seen in the foetuses of healthy women.

The changes were only visible with a special type of ultrasound of the heart called echocardiography. The changes weren't seen using standard echocardiography, the study found.

The findings were to be presented at a European Society of Cardiology (ESC) meeting in Spain.

Findings from meetings are typically seen as preliminary until they're published in a peer-reviewed journal.

Read:  Gestational diabetes and your baby

"Diabetes and obesity are major epidemics of the present century.

Firm conclusions

"I see a lot of mothers with one or both conditions in my clinical practice and wanted to investigate if these maternal conditions had any effect on the foetal hearts," study author Dr Aparna Kulkarni, a New York City paediatric cardiologist from Montefiore Medical Centre, said in an ESC news release.

But, while these findings are important, "I don't want pregnant women with diabetes or obesity to think that something will definitely go wrong with their pregnancy.

Read: Are there different types of diabetes 

"We need more answers about what impact diabetes and obesity in the mother may have on the child after birth, before coming to firm conclusions about implications for the health of the baby," Kulkarni noted.

Further research is needed to determine when these foetal heart muscle changes occur during pregnancy, if anything can be done to prevent them, and whether they affect heart health later in life, Kulkarni said.

As a follow-up, she plans to look at the hearts of the babies in the study when the children are 1 year old. That will help determine if the heart muscle abnormalities are lasting and, if so, whether they have become worse, she added. 

Read more: 

Pregnancy-related diabetes likely to recur  

treating gestational diabetes  

Is diabetes hereditary 

 

Ask the Expert

Diabetes expert

Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

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