Maternal-Fetal Exchange
Conditions
Keywords
Pregnant women, Uterine Artery Doppler Velocimetry
Brief summary
The purpose of this study is to detect if adding resistance to maternal blood flow from the arm will help increase the blood flow through the uterine arteries to the placenta and the baby.
Detailed description
In the setting of uteroplacental insufficiency, there is little that can be done to increase blood flow through the uterus and placenta. Historically, women with growth restricted fetuses or oligohydramnios have been placed on bed rest. Unfortunately, this treatment modality has met with only limited success. Cardiologists have long recognized the simple act of making a fist or otherwise occluding blood flow through a limb dramatically increases a person's peripheral vascular resistance. If maternal peripheral resistance can be increased, perhaps the increased differential between the maternal peripheral vascular resistance and that of the uteroplacental unit will increase flow through the uterus and placenta.
Interventions
bilateral Uterine artery Doppler readings pre- and during blood pressure measurement
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women greater than or equal to 18 years old * Able to speak and read English * Have a singleton pregnancy greater than or equal to 18 weeks gestation
Exclusion criteria
* Multiple gestation * Less than 18 weeks gestation * Uterine anomalies * Fetal anomalies * Preeclampsia * Hypertension * Inability to have BP cuff on left arm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Uterine Artery Doppler | at time of routine ultrasound | The purpose of this study is to detect if adding resistance to maternal blood flow from the arm will help increase the blood flow through the uterine arteries to the placenta and the baby. |
Countries
United States