Labor Complication
Conditions
Keywords
stillbirth, hemorrhage
Brief summary
High Uterine artery index pulsatility (PI) is associated with small for gestationnal age but also with stillbirth and distress during labor.
Detailed description
measures of Uterine artery PI is made with transabdominal color flow during labor. The right and left uterine arteries are visualized at the crossover wth the external iliac arteries. PI is measured and the mean PI of the two vessels is calculated and expressed as multiple of the median (MoM).The outcomes stillbirth, distress and vaginal or cesarean delivery, apgar sore \<7 at 5 minutes, birth weight and maternal outcomes: preeclampsia, hemorrhage and other complications are noted.
Interventions
RADIATIONnormal PI
measurement of the PI in the uterine artery for pregnant women during labor, expressed in MoM
RADIATIONpathological PI
measurement of the PI in the uterine artery for pregnant women during labor, expressed in MoM
Sponsors
University Tunis El Manar
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* gestationnal age \>=34 weeks * during labor
Exclusion criteria
* elective cesarean even if labor * non elligible ultrasound criteria of good measurement of uterine artery PI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| right uterine artery pulsatility index measurement | 15 minutes |
| left uterine artery pulsatility index measurement | 15 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maternal outcome | 2 days | number of patients with hemorrhage, preeclampsie, adversal outcomes |
| small for gestationnal age (SGA) | 1 day | number of neonatal SGA |
| Apgar Score<7 | 1 day | number of birth with Apgar score \<7 |
| distress | 1 day | number of cesarean section for distress |
Countries
Tunisia
Contacts
Primary ContactAMIRA AYACHI, Ph D
Outcome results
None listed