İs There a Relationship Between Severity of Preeclampsia and Maternal Heavy Metal Levels?

NCT ID: NCT01906567

Last Updated: 2013-08-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-07-31

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study, to investigate whether severity of preeclampsia is associated with altered levels of heavy metals (Cd, Hg, arsenic and Pb) in maternal blood, fetal blood, and maternal hair.

Detailed Description

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The unfavorable effects of heavy metals on human health is well known. The main threats to human health from heavy metals are associated with exposure to lead, cadmium, mercury and arsenic. They may be toxic at the levels previously thought to have no adverse effect on human.In utero environmental exposures can have long term consequences to health and development.İn spite of what is known about the neurotoxicity from exposure to heavy metals, the health effects from co-exposure to these chemicals and the biologically effective doses are not known exactly.

Preeclampsia is associated with increased maternal and infant mortality and morbidity. The exact etiology is not clear. Several evidences indicate that various environmental factors and elements may play a role in pre-eclampsia.

significant increase in Pb, cadmium (Cd), copper (Cu) and magnesium (Mg) and decrease in zinc (Zn) in amniotic fluid are associated with preeclampsia. Pb as this metal has well known adverse effects on renal system and blood pressures Effects of Pb on reproductive system have been studied intensively, e.g. other pregnancy outcome and pregnancy hypertension.

However, the relationship between the severity of pre-eclampsia and heavy metal levels have not been investigated.

The purpose of this study, to investigate whether severity of preeclampsia is associated with altered levels of heavy metals (Cd, Hg, arsenic and Pb) in maternal blood, fetal blood, and maternal hair.

Conditions

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Mild Pre-eclampsia Severe Preeclampsia

Keywords

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cadmium lead mercury preeclampsia pregnancy

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

PROSPECTIVE

Study Groups

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severe preeclamptic women

Severe preeclampsia is defined as the presence of 1 of the following symptoms or signs in the presence of preeclampsia:

• SBP of 160 mm Hg or higher or DBP of 110 mm Hg or higher on 2 occasions at least 6 hours apart

• Proteinuria of more than 5 g in a 24-hour collection or more than 3+ on 2 random urine samples collected at least 4 hours apart

• Pulmonary edema or cyanosis

• Oliguria (\< 400 mL in 24 h)

• Persistent headaches

• Epigastric pain and/or impaired liver function

• Thrombocytopenia

• Oligohydramnios, decreased fetal growth, or placental abruption

No interventions assigned to this group

mild preeclamptic women

Mild preeclampsia is defined as the presence of hypertension (BP ≥140/90 mm Hg) on 2 occasions, at least 6 hours apart, but without evidence of end-organ damage in the patient.

No interventions assigned to this group

Healthy Pregnant Women

healthy pregnant women at term who not developed any complication of pregnancy

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Clinical diagnosis of preeclampsia (diagnosed per ACOG criteria)

Exclusion Criteria

known chronic disease multipl pregnancies
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Zekai Tahir Burak Women's Health Research and Education Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ayse Kirbas

Ayse Kirbas, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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ayse kirbas, md

Role: PRINCIPAL_INVESTIGATOR

Zekai Tahir Burak Women's Health Research and Education Hospital

Locations

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Zekai Tahir Burak Maternity Teaching Hospital

Ankara, Ankara, Turkey (Türkiye)

Site Status RECRUITING

Zekai Tahir Burak Education and Research Hospital

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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ayse kirbas

Role: CONTACT

Phone: +90 0533 646 9213

Email: [email protected]

sibel ozler

Role: CONTACT

Phone: + 90 545 233 1363

Email: [email protected]

Facility Contacts

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ayse kirbas, md

Role: primary

sibel ozler, md

Role: backup

ayse kirbas, md

Role: primary

Related Links

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790505/

Maternal Blood Lead Levels and the Risk of Pregnancy-Induced Hypertension: The EDEN Cohort Study

http://ncbi.nlm.nih.gov/

Environmental lead level and pregnancy-induced hypertension.

Other Identifiers

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zekai tahir burak heavy metal

Identifier Type: -

Identifier Source: org_study_id