First pregnancy in 36th week with maternal obesity
Conditions
Interventions
Group 1: Change in diet (constant glucose levels, avoidance of sugar and short-chain carbohydrates) from the 36th week of pregnancy in the case of maternal obesity (BMI>25kg/m2 preconception)
Group 2:
Sponsors
Universitätsklinikum Frankfurt, Abteilung für Geburtshilfe und Perinatalmedizin
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Primiparous patient - Singleton pregnancy - The pregnant woman owns a smartphone that is compatible with the app "libre 3" (see manufacturer list) - BMI>25 kg/m² preconception or - fetal sonographic abnormalities in the sense of a diabetogenic metabolic state (polyhydramnios, head-abdomen discrepancy, macrosomia), without an abnormal glucose tolerance test or - previously known PCOS or known insulin resistance without an abnormal glucose tolerance test
Exclusion criteria
Exclusion criteria: - multiparous patients, - Contraindications for vaginal birth (placenta previa, fetal diseases) - Maternal diseases: preeclampsia/HELLP syndrome, uterine anomalies - Taking medication: cortisone, acetylsalicylic acid, L-dopa - diabetes mellitus type 1/2/gestational diabetes - abnormal glucose tolerance test - lack of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time in first stage of labor | — |
Secondary
| Measure | Time frame |
|---|---|
| - time of delivery in pregnancy - days after delivery date - Induction rate - Cesarean section rate and the indication, especially arrest in first stage of labor or unsuccessful induction - time of second stage of labor - epidural anesthesia yes/no - Rate of hyperglycemia, glucose levels and variability depending on diet - Average daily glucose level - HbA1c, LDL, HDL, triglycerides, cholesterol, fructosamine | — |
Countries
Germany
Contacts
Public ContactFrank Louwen
Universitätsklinikum Frankfurt am Main, Abteilung für Geburtshilfe und Perinatalmedizin
Outcome results
None listed