Susan Campbell Westerway1, Rob Heard2 and Jonathan .pptVIP

* Susan Campbell Westerway1, Rob Heard2 and Jonathan Morris1 University of Sydney, Department of Obstetrics Gynaecology, Royal North Shore Hospital1 School of Behavioural Community Health Sciences2 ASUM image planes for measuring the BPD, OFD, head circumference, abdominal circumference and long bones. Images are actual third trimester pregnancies reflecting the difficulty of perfect image planes. No statistically significant difference was seen for the BPD, OFD, HC long bones between the study group the general population based on the ASUM graphs. In 3/4 of the cases of macrosomic births to Caucasian women with GDM, both the head abdominal circumference was greater than 1 standard deviation above the ASUM mean by 35 weeks gestation. There was no correlation between AC, HC and birth-weight. 8/9 babies of Chinese immigrant women both with and without GDM with AC ASUM AC mean from 34 weeks had birth-weights 3,600g. The Fisher exact probability that Chinese AC ASUM mean from 34 weeks is unrelated to birth weight 3600g was ASUM mean from 34 weeks predicts excess birth weight for Chinese. An increased AC prior to 34 weeks was non specific as 22% of Chinese had a raised AC which normalised after 34 weeks. Conclusion The mean birth weights of the groups in the study did not differ statistically from each other - Chinese 3312g Chinese GDM 3405g Caucasian 3435g Caucasian GDM 3486g . For Chinese fetuses an AC ASUM mean beyond 34 weeks predicts birth weight above 3600g p 0.0000005 . This was not true for Caucasians. Ultrasound of the abdominal circumference after 34 weeks helped identify those fetuses of both Caucasian Chinese women that were potentially larger than average and therefore at a greater risk of birth complications. Measurements prior to 34weeks gestation gave a high rate of false positives for predicting increased birth-weight. Literature 1. Hoffman L, Nolan C, Wilson J D, Oats JN, Simmons D. Gesta