Effects of Maternal Smoking on Fetal Liver Circulation

NCT ID: NCT04721782

Last Updated: 2021-01-25

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

160 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-07-07

Study Completion Date

2021-07-31

Brief Summary

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According to the hypothesis of this study presented, the effects of smoking on the fetus can be determined by the liver circulation and hepatic metabolism. The basic assumption of this project is; Compensatory and pathological findings can be seen in the fetal liver circulation in babies of mothers who smoke and the findings can be valuable in predicting the direction of fetal development (growth retardation or normal development). In this study, the flow and shunt amounts in the fetal hepatic vessels in normal and smoking pregnant women will be calculated with the help of Doppler US.

Detailed Description

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Smoking is an agent that negatively affects of uteroplacental circulation and fetal development due to the chemical substances it contains, especially carbon monoxide and nicotine. According to the hypothesis of this study presented, the effects of smoking on the fetus can be determined by the liver circulation and hepatic metabolism. The basic assumption of this project is; Compensatory and pathological findings can be seen in the fetal liver circulation in babies of mothers who smoke and the findings can be valuable in predicting the direction of fetal development (growth retardation or normal development). In this study, the flow and shunt amounts in the fetal hepatic vessels in normal and smoking pregnant women will be calculated with the help of Doppler US.Therefore, we try to delineate pathological circulatory pattern in these fetuses and shed light to the mechanism of smoking-induced abnormal fetal development. In addition, the effects of other maternal demographic factors, cigarette amount, cotinine and expiratory carbon monoxide levels (or any correlation between them) on hepatic circulation and fetal development will be examined.

Conditions

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Smoking, Cigarette Maternal Exposure Ultrasound Fetal; Circulation Liver

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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otherwise healthy, smoking, singleton pregnant women between 24- 36 weeks

Fetal liver circulation will be evaluated with doppler ultrasound, The degree of maternal smoking will be assessed by measuring urine cotinine and exhaled carbon monokside levels

smoking

Intervention Type OTHER

to assess the effect of smoking of fetal liver circulation with prenatal Doppler Ultrasonography

otherwise healthy, non-smoking, singleton pregnant women between 24- 36 weeks

Fetal liver circulation will be evaluated with doppler ultrasound, The degree of maternal smoking will be assessed by measuring urine cotinine and exhaled carbon monokside levels

No interventions assigned to this group

Interventions

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smoking

to assess the effect of smoking of fetal liver circulation with prenatal Doppler Ultrasonography

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* singleton pregnancy
* smoking more than one cigarette in a day

Exclusion Criteria

* fetal anomaly
* pregnant women with systemic disease
* younger than 18 years
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Maternal Fetal Medicine and Perinatology Society of Turkey

UNKNOWN

Sponsor Role collaborator

Bezmialem Vakif University

OTHER

Sponsor Role lead

Responsible Party

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Mehmet Serdar Kutuk

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Bezmialem Vakıf University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Cnattingius S. The epidemiology of smoking during pregnancy: smoking prevalence, maternal characteristics, and pregnancy outcomes. Nicotine Tob Res. 2004 Apr;6 Suppl 2:S125-40. doi: 10.1080/14622200410001669187.

Reference Type BACKGROUND
PMID: 15203816 (View on PubMed)

Kallen K. Maternal smoking during pregnancy and infant head circumference at birth. Early Hum Dev. 2000 Jun;58(3):197-204. doi: 10.1016/s0378-3782(00)00077-3.

Reference Type BACKGROUND
PMID: 10936439 (View on PubMed)

Kiserud T. Fetal venous circulation--an update on hemodynamics. J Perinat Med. 2000;28(2):90-6. doi: 10.1515/JPM.2000.011.

Reference Type BACKGROUND
PMID: 10875092 (View on PubMed)

Other Identifiers

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06/109

Identifier Type: -

Identifier Source: org_study_id

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