Anemia, Hypoxia
Conditions
Brief summary
DDA is a new Doppler parameter aiming to assess fetal well-being in-utero. Late-onset FGR is a specific subgroup of fetuses where the clinical application of this Doppler modality could play an essential role in detecting hypoxia, anemia, and other adverse neonatal outcomes.
Interventions
A new Doppler parameter to quantify the amount of vasodilatation in the middle cerebral artery (MCA) and other blood vessels.
Sponsors
Study design
Eligibility
Inclusion criteria
* absence of fetal abnormalities and/or genetic conditions; * single pregnancy; * fetal growth restriction (FGR) \< 10%, according to the INTERGROWTH 21st nomograms, appearing after 32nd week of gestation
Exclusion criteria
* documented fetal abnormalities and/or genetic conditions in the course of the pregnancy; * multiple pregnancy; * absence of fetal growth restriction (FGR) \< 10%, according to the INTERGROWTH 21st nomograms after 32nd week of gestation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hypoxia in the newborn | immediately after delivery | Defined by pH values \< 7.20 |
| Anemia in the newborn | immediately after delivery | Hemoglobin deviation from GA mean - mild \< 20 g/L, moderate - 20-70 g/L, severe \> 70 g/L |
| Occurence of hypoxic-ischemic encephalopathy | first 72 hours after delivery | Occurence of hypoxic-ischemic encephalopathy in relation to some of the outcome measures |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Apgar score at 5th minute | 5 minutes after delivery | Apgar score measured at 5th minute after delivery |
| Admissions to a NICU | first 72 hours after delivery | Admissions to a NICU indicated by or related to some of the outcome measures |
| Apgar score at 10th minute | 10 minutes after delivery | Apgar score measured at 10th minute after delivery |
| Apgar score at 1st minute | 1 minute after delivery | Apgar score measured at 1st minute after delivery |
Countries
Bulgaria