Pre-eclampsia and fetal growth restriction Pregnancy and Childbirth Pre-eclampsia and fetal growth restriction
Conditions
Interventions
Women will be recruited at their dating ultrasound scan, typically performed ~12wkGA. Blood will be obtained at this visit, at their anomaly scan (20wkGA), and at two research appointments (28wkGA and
Sponsors
Cambridge University Hospitals NHS Foundation Trust
Cambridge University
Eligibility
Sex/Gender
Female
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Nulliparous (no previous births >23wkGA) 2. Single viable fetus at the dating ultrasound scan with an ultrasonic estimated gestational age <18wkGA
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is a composite, namely, one or more of the following: 1. Diagnosis of preeclampsia (using the ACOG 2013 definition), 2. Perinatal death or perinatal morbidity, or 3. Delivery of an infant with a birth weight 10mmol/L) or admission to the neonatal unit (defined as admission 12mmol/L. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will include each of the individual elements of the maternal and perinatal composite described above. The following additional secondary outcomes will be studied: 1. Maternal: 1.1 Maternal death 1.2 Maternal stroke 1.3 Maternal admission to any medical unit (e.g. intensive care unit, stroke unit, coronary care unit, neurosciences critical care unit) 1.4 Placental abruption 1.5 Cord prolapse 1.6 Caesarean section 1.7 Epidural anaesthesia 1.8 Instrumental vaginal delivery 1.9 General anaesthesia 1.10 Post-partum haemorrhage (any >500ml) 1.11 Post-partum haemorrhage requiring blood transfusion 1.12 Infection (pyrexia >38°C and treated with a course of antibiotics) Maternal death, stroke, admission to a medical unit, hemorrhage and infection will include all episodes occurring prior to discharge home following the delivery. 2. Perinatal: 2.1 Apgar at 1 minute 2.2 Apgar at 5 minutes 2.3 Apgar at 10 minutes 2.4 Umbilical arterial pH and base deficit 2.5 Umbilical vein pH and base deficit 2.6 Any/duration of admission to Special Care 2.7 Any/duration of admission to Neonatal Intensive Care 2.8 Fracture (any) 2.9 Seizures (any) 2.10 Prolonged hypotonia (>2h) 2.11 Abnormal level of consciousness (hyperalert, drowsy, lethargic, stupor, decreased response to pain, coma) 2.12 Tube feeding (any duration) 2.13 Head cooling 2.14 Phototherapy 2.15 Severe hypoglycemia (defined as requiring parenteral treatment or drug therapy) | — |
Countries
England, United Kingdom
Outcome results
None listed