Preeclampsia grave MedDRA version: 14.0 Level: LLT Classification code 10040445 Term: Severe pre-eclampsia, antepartum System Organ Class: 10036585 - Pregnancy, puerperium and perinatal conditions
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age >= 18 years - Pregnant women of 24.0 - 33.6 weeks with severe preeclampsia after 24 h of treatment with intravenous magnesium sulfate (4 g bolus followed by continuous infusion pump 1 g / h). They include multiple pregnancies, HELLP syndrome, oligohydramnios, intrauterine growth retardation (IUGR) and patients with associated medical conditions who don't meet the exclusion criteria Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 92 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Eclampsia, uncontrolled blood pressure at maximum doses of two antihypertensive drugs, acute pulmonary edema, abruptio placenta, fetal death on admission, suspected fetal welfare loss. Patients with myasthenia gravis, myocardial involvement or cardiac conduction defects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine whether continuous administration of magnesium sulfate prolongs pregnancy more days compared to discontinuous administration;Secondary Objective: 1. To evaluate and compare the incidence of maternal complications according to treatment regimen: death, eclampsia, placental abruption usually inserted (abruptio placentae), hemorrhage, acute pulmonary edema, acute renal failure, cerebral edema. 2. To evaluate and compare the incidence of fetal complications (death, cerebral palsy, intraventricular hemorrhage, respiratory distress, persistent patent ductus arteriosus refractory to medical treatment). 3. To evaluate fetal hemodynamic evolution and its association with perinatal outcomes according to the prescription given. 4. To evaluate the prognostic role of angiogenic factors in the expectant management of severe preeclampsia;Primary end point(s): Days after inclusion in the study until delivery;Timepoint(s) of evaluation of this end point: Daily control | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Maternal complications: Placental abruption Acute pulmonary edema Eclampsia Renal insufficiency ICU admission Fetal/neonatal complications: Intrauterine death Perinatal death Intraventricular hemorrhage Respiratory Distress Retinopathy of prematurity Neonatal sepsis;Timepoint(s) of evaluation of this end point: Daily control | — |
Countries
Spain
Contacts
Anna Suy Franch