O30.0 O43.0 O36.5 O14.9
Conditions
Interventions
Group 1: Twin pregnancy
Patients with existing twin pregnancies (both monochorial and dichorial) will be included in the study after written consent has been obtained.
After recruitment, intensive ca
Sponsors
Abteilung für Geburtshilfe und Pränatale MedizinUniversitätsklinikum Bonn
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Mother's ability to consent - Signed declaration of consent - Presence of a twin pregnancy - gestational age <13+6 weeks at time of inclusion
Exclusion criteria
Exclusion criteria: - death of a twin 2 fetuses) - Indication for termination of pregnancy from maternal indication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We aim to develop a multi-marker, personalized, and predictive model for prenatal identification of twin pregnancies that are at risk for developing feto-maternal complications so that better care and preventive measures can be offered. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following complications should be checked and evaluated by the register: - Proportion of study participants with one of the following complications: o Preeclampsia (PE) o Gestational diabetes (GDM, dietary adjusted or insulin required) o Feto-fetal transfusion syndrome (TTTS, twin-to-twin transfusion syndrome) o Selective intrauterine growth restriction (sIUGR, selective intrauterine growth restriction) - Causes of death intrauterine - Proportion of study participants with necessary intervention during pregnancy due to one of the above mentioned complications: o Intrauterine laser therapy with TTTS o Cord-clamping at sIUGR o Amniotic drainage o Invasive prenatal diagnostics (AC, CVS) for fetal chromosomal abnormalities o Antihypertensive or anticonvulsive therapy for PE o Insulin therapy for insulin-dependent GDM - Birth / Premature birth o Average age at birth o Birth weight (Z-scores; percentiles) or weight difference between fat 1 and 2 o Maternal morbidity / mortality o Childhood morbidity / mortality - Number of AEs / adverse outcomes (prenatal, postnatal) - maternal and infantile - Average number of days of maternal and neonatal hospitalization due to complications | — |
Countries
Canada, Germany, Israel, Spain, United Kingdom
Contacts
Public ContactAnnegret Geipel
Abteilung für Geburtshilfe und Pränatale MedizinUniversitätsklinikum Bonn
Outcome results
None listed