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How Placental Microscopic Changes Reflect Fetal Wellbeing in Growth-Restricted Babies

Placental Syncytial Knot Index and Villous Pathology in Fetal Growth Restriction: Correlation with Fetal Doppler Abnormalities and Neonatal Hypoxia Markers. - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2025/11/096877
Enrollment
50
Registered
2025-11-04
Start date
Unknown
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O098- Supervision of other high risk pregnancies

Interventions

Intervention1: Nil: Nil

Sponsors

Aiims Bibinagar
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Singleton pregnancies with estimated fetal weight below the 3rd centile or below 10th percentile for gestational age, with abnormal fetal Doppler in umbilical artery, middle cerebral artery, or cerebroplacental ratio.

Exclusion criteria

Exclusion criteria: 1. Major fetal structural or chromosomal abnormalities, 2. placentas with tissue quality insufficient for histologic assessment, and 3. cases without reliable gestational age or cord/neonatal hypoxia sampling

Design outcomes

Primary

MeasureTime frame
To evaluate the correlation between syncytial knot index and villous pathology with fetal Doppler abnormalities in pregnancies complicated by fetal growth restriction (FGR).Timepoint: To evaluate the correlation between syncytial knot index and villous pathology with fetal Doppler abnormalities in pregnancies complicated by fetal growth restriction (FGR).

Secondary

MeasureTime frame
To evaluate the relationship between syncytial knot index & neonatal hypoxia markers, including umbilical cord arterial pH, base excess, & lactate levels.Timepoint: At delivery;To determine the correlation between villous pathology and neonatal acid-base statusTimepoint: At Birth;To explore whether placental histopathological findings can serve as postnatal markers supporting the severity of antenatal Doppler abnormalities in FGR.Timepoint: At Birth

Countries

India

Contacts

Public ContactMishu Mangla

All India Institute of Medical Sciences

mishusingla83@gmail.com9988805850

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026