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OBJECTIVE Fetal fractional limb volume has been proposed as a useful measure for quantifying fetal soft tissue development. The aim of this study was to investigate the growth of fractional arm volume (AVol) and fractional thigh volume (TVol) of fetuses with maternal gestational diabetes (GDM) compared with that of fetuses with normal glucose tolerance (NGT). We hypothesized fetal fractional limb volume would be larger in GDM group than in NGT group in late gestation. DESIGN Exploratory observational study SETTING Saitama Municipal Ho