Dystocia, Uterine Inertia
Conditions
Brief summary
Despite the fact that a link between cholesterol and the myometrium has been clearly established, no study investigating aspects of cholesterol metabolism and uterine dystocia currently exists. This study is a pilot study whose aim is to test the hypothesis that an association between uterine dystocia and single-nucleotide polymorphisms (SNPs) in the genes coding for the LXRs.
Interventions
Whole blood sampling for SNP polymorphism analysis
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing C-section for a dystocia: 2 to 3 hours of stagnation in labor progress are observed (ie no increasing dilation, and uterine contractions less that 3-5 per 10 minutes) in spite of measures taken to overcome dystocia (oxytocin injection and artificial breaking of waters) * the child is alive * the child does not have apriori known malformations that could interfere with a vaginal birth * foetus in cephalic position * full term pregnancy (\>= 37 weeks of amenorrhea) * single birth * patient has signed consent * patient is affiliated with a social security system
Exclusion criteria
* vaginal birth * programmed C-section * C-section is chosen because the fetus has a cardia rhythm problem, and there is no stagnation in the labor process * multiple pregnancy * the child is in a breech position * premature birth (\<37 weeks amenorrhea) * in utero fetal death * fetal malformation known before birth that could interfere with a vaginal birth * non french-speaking patient (impossible to correctly inform the patient) * patient under guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The multi-loci genotype of the target DNA sequence. | Day 1 | The polymorphisms of interest are the following SNPs: rs3758673, rs3758674, rs12221497, rs11039155, rs2279238, rs7120118, rs35463555, rs1052533, rs2248949, rs41432149, rs1405655, rs4802703. |
Countries
France