Cardiovascular Adaption, Frozen Embryo Transfer (FET), IVF, Magnetic Resonance Imaging (MRI), Preeclampsia
Conditions
Brief summary
Aim of the study is to explore the effect of a lacking corpus luteum on maternal cardiovascular and metabolic adaption to pregnancy by the use of magnetic resonance imaging (MRI).
Detailed description
The use of programmed frozen embryo transfer cycle (FET) in IVF women is associated with an increased risk of obstetric complications (pregnancy-induced hypertension, preeclampsia, postpartum hemorrhage and placenta accreta) compared to FET in natural cycle. The lack of corpus luteum in programmed cycles and the subsequent absence of circulating vasoactive substances may lead to an impaired cardio-vascular adaption to pregnancy and thereby an increased risk of pregnancy-induced hypertension and preeclampsia. The cardiovascular and metabolic adaption to pregnancy is evaluated throughout pregnancy by use of Magnetic Resonance Imaging (MRI) as well as non-invasive measurements by use of elastography and seismocardiography. Patients are screened for preeclampsia throughout pregnancy with measurements of blood pressure, urine samples as well as blood samples.
Interventions
MRI performed three times during pregnancy and 6 months postpartum
Sponsors
Study design
Eligibility
Inclusion criteria
* Autologous embryo transfer in programmed FET-cycle or modified-natural FET-cycle or * Planned donor egg transfer in programmed FET-cycle or modified-natural FET-cycle * Age \< 40 years * BMI \< 35 * Primary diagnosis being unexplained infertility, male infertility or tubal factor * Singleton blastocyst transfer
Exclusion criteria
* PCOS * Essential hypertension * Diabetes Mellitus (type 1 or 2) * Known cardiac disease * Antiphospholipid syndrome, Lupus erythematosus, rheumatoid disease * Preelampsia, gestational hypertension, gestational diabetes or severe intrauterine growth restriction (IUGR) in any previous pregnancy * Smoking * Multiple pregnancy * Severe claustrophobia or any other contraindications to MRI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal cardiovascular adaption to pregnancy | From early pregnancy to six months postpartum |
| Maternal metabolic adaption to pregnancy | From early pregnancy to six months postpartum |
| Placental function and fetal oxygenation estimated by longitudinal T2* weighted placental and fetal MRI | From early pregnancy to six months postpartum |
Countries
Denmark