IUGR, Preeclampsia
Conditions
Brief summary
Second trimester homocysteine & uterine artery doppler will be assessed& the cases will be followed up till delivery for development of preeclampsia, IUGR(intra-uterine growth retardation) & other obstetric complications.
Detailed description
Spontaneous pregnancies with no risk factors will be included. Fasting plasma total homocysteine level samples will be collected between 15th & 19th weeks. Uterine artery doppler between 18th & 22nd weeks. Method 1: Screen positive cases will be considered if homocysteine level above 6.3umol/l Method 2: Screen positive cases will be considered if they had bilateral notches and a mean resistivity index (RI) above 0.55, or unilateral notches and a mean RI above 0.65, or absence of notches and a mean RI above 0.7. Method 3: Screen positive cases will be considered if they had bilateral notches and a mean RI above 0.55, or unilateral notches and a mean RI above 0.65, or absence of notches and a mean RI above 0.7 combined with homocysteine cut off value of 6.3umol / l.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* spontaneous pregnancies with no risk factors
Exclusion criteria
* multiple pregnancies * non intact renal function * hypertension * diabetes * folic acid supplements * antifolate drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of pregnants who developed preeclampsia, those who developed IUGR alone and those who developed other obstetric complications as preterm labour and placental abruption | 4 months |