Placenta Perfusion and Sufficiency Study

NCT ID: NCT06042348

Last Updated: 2023-09-18

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

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-15

Study Completion Date

2024-01-31

Brief Summary

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Ultrasonography will be used to determine the total blood flow to and from the uterus. This is done by measuring the blood vessels coming from and going to the uterus. This wil hopefully prove viable and open the possibility to further research in the clinical relevance of these measurements.

Detailed Description

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This prospective pilot study takes place between 14- and 16-weeks' gestation (GA14 to 16 weeks). This is a feasibility study, as the perfusion measurements have not yet been performed this early in pregnancy. First the feasibility is assessed, before conducting a full-scale research project. The study will take place in a tertiary care obstetric centre, Máxima Medical Center, in Veldhoven The Netherlands. Measurements will be done at the out patient clinic of obstetrics. Duration of the study is 2 months. This gives ample time for recruitment of the subjects.

Recruitment will take place at the outpatient clinic of Máxima Medisch Centrum in Veldhoven. Women with singleton pregnancies coming for their 11-12 weeks' gestational ultrasound, where the pregnancy is dated, will be given a patient information folder in either Dutch or English and asked if the researcher can contact them. Participation is completely on voluntary basis. Patients will be called in the next days by the researcher to answer additional questions and to ask if patients are willing to participate. Contact information of the researchers will be available on the folder in case of questions.

Upon inclusion, the patients will be scheduled for a visit to perform all relevant measurements, henceforth referred to as 'measurement day' (MD) which is to take place between 14- and 16-weeks' gestation. The patient, henceforth to be referred to as participant, will be asked to rest for 5 minutes in a supine position. After 5 minutes of rest the blood pressure of the right arm will be measured, three times using the auto-sphygmomanometer. The three measurements will then be used to calculate the average systolic and diastolic blood pressures. After measurement of blood pressure, the ultrasound scan will be performed. The uterine and placental vessels will be measured according to the standard operating procedure attached to this document. All vessels will be measured 3 times during the ultrasound scan.

Conditions

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Placenta Diseases, Diagnosis Pregnancy Related Female Human

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1

Trans abdominal ultrasound

Intervention Type DIAGNOSTIC_TEST

Ultra sound of the uterus and uterine blood vessels

Interventions

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Trans abdominal ultrasound

Ultra sound of the uterus and uterine blood vessels

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Between 14-16 weeks gestation on measurement day
* Placenta anterior
* BMI \< 30kg/m2
* Ability to give consent
* Adequate mastery of the Dutch or English languages

Exclusion Criteria

* Non-intact pregnancy at 13 week's gestational echo.
* Vanishing twin
* Multiple gestations
* Congenital or anatomical anomalies at 13 weeks' gestational echo.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Maxima Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Sahil Joseph Gregory Manoj Sabnani

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Loes Monen

Role: PRINCIPAL_INVESTIGATOR

Maxima Medical Center

Locations

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Maxima Medical Center

Veldhoven, Braband, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Facility Contacts

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Sabnani

Role: primary

+31634385519

Monen

Role: backup

(040) 888 8385 ext. 7338

References

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Gude NM, Roberts CT, Kalionis B, King RG. Growth and function of the normal human placenta. Thromb Res. 2004;114(5-6):397-407. doi: 10.1016/j.thromres.2004.06.038.

Reference Type BACKGROUND
PMID: 15507270 (View on PubMed)

Fadl S, Moshiri M, Fligner CL, Katz DS, Dighe M. Placental Imaging: Normal Appearance with Review of Pathologic Findings. Radiographics. 2017 May-Jun;37(3):979-998. doi: 10.1148/rg.2017160155.

Reference Type BACKGROUND
PMID: 28493802 (View on PubMed)

Brosens I, Pijnenborg R, Vercruysse L, Romero R. The "Great Obstetrical Syndromes" are associated with disorders of deep placentation. Am J Obstet Gynecol. 2011 Mar;204(3):193-201. doi: 10.1016/j.ajog.2010.08.009. Epub 2010 Nov 20.

Reference Type BACKGROUND
PMID: 21094932 (View on PubMed)

Schiffer V, van Haren A, De Cubber L, Bons J, Coumans A, van Kuijk SM, Spaanderman M, Al-Nasiry S. Ultrasound evaluation of the placenta in healthy and placental syndrome pregnancies: A systematic review. Eur J Obstet Gynecol Reprod Biol. 2021 Jul;262:45-56. doi: 10.1016/j.ejogrb.2021.04.042. Epub 2021 May 4.

Reference Type BACKGROUND
PMID: 33984727 (View on PubMed)

Mol BWJ, Roberts CT, Thangaratinam S, Magee LA, de Groot CJM, Hofmeyr GJ. Pre-eclampsia. Lancet. 2016 Mar 5;387(10022):999-1011. doi: 10.1016/S0140-6736(15)00070-7. Epub 2015 Sep 2.

Reference Type BACKGROUND
PMID: 26342729 (View on PubMed)

Other Identifiers

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W23.020

Identifier Type: -

Identifier Source: org_study_id

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