Placenta Vascular Malformation
Conditions
Keywords
preeclampsia, eclampsia, retroplacental hematoma, vascular IUGR, IUFD, placental volume
Brief summary
Pregnancy complications called PVP are mainly responsible for perinatal mortality. In these cases, the placenta is smaller and often the centre of thrombotic lesions. The estimation of the placenta volume by 3D ultrasound coupled with growth factors and D-Dimers measures could improve the understanding of these pathologies to optimize their detection.
Detailed description
Pregnancy complications called Placental Vascular Pathologies (PVP) are mainly responsible for perinatal mortality. In these cases, the placenta is smaller and often the centre of thrombotic lesions. The estimation of the placenta volume by 3D ultrasound coupled with growth factors and D-Dimers measures could improve the understanding of these pathologies to optimize their detection. Thus, the identification of predictive factors of the risk of occurrence or recurrence of PVP could allow us to propose a monitoring of patients at risk, to anticipate corticoids administration for the foetuses pulmonary maturation and perhaps later to adapt anti hypertensive and antithrombotic therapeutics.
Interventions
biological markers evaluated : D-Dimer, sEPCR
Sponsors
Study design
Eligibility
Inclusion criteria
* previous history of one or more PVC episodes : preeclampsia, HELLPs, retroplacental hematoma, vascular IUGR\<10th percentile, recurrence miscarriage \>2, unexplained IUFD or IUFD after abruption placentae, eclampsia. * coming for a 12 weeks ultrasound
Exclusion criteria
* Multiple pregnancy * past history of in utero fetal death due to congenital malformations, rhesus incompatibility or an infection * previous history of IUGR which etiology was a chromosomal, genic or infectious anomaly
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| placental volume by 3D ultrasound and D-Dimers rate | Week 12 |
Secondary
| Measure | Time frame |
|---|---|
| EPCRs rate measurements | Week 12 |
| Occurrence or recurrence of PVP | Week 12 |
| placental volume by 3D ultrasound and D-Dimers rate | Week 16 |
Countries
France