Pregnancy Complication
Conditions
Keywords
pregnancy, obesity, differentiation
Brief summary
The purpose of this study is to improve the understanding of cellular mecanism involved in delivery disorders in obese women, first by characterizing the hyperplasia phenomenon of myometrail cells induced by inflammatory stimulation (Il-1B), then by studying the role of blood mononuclear cells, of leptine and of obese women sera to interfere with the transition of myometrial cells toward hyperplasia phenotype.
Interventions
The biopsy of myometrium is specially realised for the study in surgical unit after the release of the child, in women with normal pregnancy but necessitating a caesarean. The blood samples are realised, specially for the study, either during the medical exam before the ceasarean or specifically for the study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Informed consent signed * Patient affiliated with a social security scheme * In front of for obstetrical reasons to give birth by caesarean section (scheduled caesarean section) * Or a woman who is not obese in labour and needs to undergo a cesarean section * No obvious infectious context * Age \> 18 years old
Exclusion criteria
* Obvious inflammatory or autoimmune diseases * Suspected or confirmed infectious context, including virale infection VIH, VHC, VHB * Coagulation disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measuring the expression level of markers (Gama actine, Desmine, Connexine-43, and Ocytocine receptor) by Westernblotting | up to 2 months | Demonstrate in vitro the capacity of a Il-1B stimulus to induce the differentiation of the myometrial cells toward a hyperplasia phenotype, and that the answer depends on whether this is cells from normal weight women or obese women before conception. |
Countries
France