Korean J Perinatol.  2016 Mar;27(1):8-14. 10.14734/kjp.2016.27.1.8.

Prediction and Prevention of Large for Gestational Age in Gestational Diabetes Mellitus

  • 1Department of Obstetrics and Gynecology, Cheil General Hospital and Healthcare Center, Dankook University College of Medicine, Seoul, Korea. obdrmhk@naver.com


Gestational diabetes mellitus (GDM) is an important disease which complicates pregnant woman and fetus. Large for gestational age (LGA) is one of the primary complications and is closely associated with the hyperglycemia of pregnant woman. Although strict control of blood glucose can decrease the occurrence of LGA, the rate of LGA in GDM pregnancy is higher than that of normal pregnancy. Understanding of the difference of fetal growth between LGA and adequate for gestational age in GDM pregnancy and consideration about the time and marker for prediction and prevention of LGA in GDM pregnancy are helpful for prenatal care of GDM pregnancy. In this article, the prediction and prevention of LGA in GDM pregnancy will be discussed.


Gestational diabetes mellitus; Large for gestational age; Prediction; Prevention

MeSH Terms

Blood Glucose
Diabetes, Gestational*
Fetal Development
Gestational Age*
Pregnant Women
Prenatal Care
Blood Glucose


  • Fig. 1 Flow chart of “modified” treatment of GDM-based serial ultrasound measurement of fetal AC (Adapted from Kjos et al.26).


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