Pregnancy
Conditions
Keywords
portal vein pulsatility, physiologic volume overload
Brief summary
This study is to investigate if portal vein pulsatility fraction can be measured in pregnancy and if it increases during the course of pregnancy as would be expected by the physiologic increase in blood volume that happens during pregnancy. Portal vein pulsatility fraction is measured in non-pregnant controls and in women in the 1st, 2nd and 3rd trimester of pregnancy.
Interventions
portal vein pulsatility fraction (percent) measured with ultrasound
Sponsors
Study design
Eligibility
Inclusion criteria
* Ability to give informed consent * American Society of Anesthesiologists (ASA) Class I and II * Singleton pregnancy during 1st, 2nd or 3rd trimester or healthy non-pregnant females of childbearing age as controls
Exclusion criteria
* Inability to give informed consent * Multiple gestation * Significant co-morbidities (e.g. cardiac abnormalities, cardiac dysfunction, arrhythmias, severe asthma, renal insufficiency) * High risk pregnancies (e.g. pre-eclampsia, gestational hypertension, HELLP, gestational diabetes) * Body-Mass-Index (BMI) \< 18kg/m2 or \>40kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Portal vein pulsatility fraction (percent) | single time-point at baseline | Portal vein pulsatility fraction (percent) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inferior vena cava diameter (mm) | single time-point at baseline | Inferior vena cava diameter (mm) |
| Inferior vena cava collapsibility index (percent) | single time-point at baseline | Inferior vena cava collapsibility index (percent) |
| Hepatic venous flow (cm/sec) | single time-point at baseline | Hepatic venous flow (cm/sec) |
| Right atrial and ventricular dimensions (cm) | single time-point at baseline | Right atrial and ventricular dimensions (cm) |
| Tricuspid Annular Plane Systolic Excursion (TAPSE) (mm) | single time-point at baseline | Tricuspid Annular Plane Systolic Excursion (TAPSE) (mm) |
Countries
Switzerland