Pregnancy, Fetal heart rate variability, Fetal growth restriction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Singleton pregnancy -Age >18 years - Control group: healthy fetuses - FGR group: Pregnancies complicated with Fetal growth restriction (FGR) defined as: Fetal Growth Restriction: estimated fetal weight -Gestational age >19 weeks
Exclusion criteria
Exclusion criteria: -Multiple pregnancies -Age <18 years -Suspicion of congenital anomalies that could possibly interfere with fetal cardiac function. -Fetal cardiac arrhythmia -Pre-existent maternal disease that might influence on fetal development; including diabetes mellitus, pre-existent hypertensive disease, auto-immune disease -Insufficient understanding of Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - To determine if there a significant differences in fetal heart rate variability between fetuses with FGR and healthy fetuses measured with the non-invasive fetal electrocardiogram and matched for gestational age. - To explore the process of fHRV parameters changing during gestation in fetuses with fetal growth restrictedtardation. - To determine if there is a relation between STE values and fHRV parameters in growth-retarded fetuses. | — |
Secondary
| Measure | Time frame |
|---|---|
| - We want to explore the feasibility to extract electrocardiographic waveforms from measurements done with the NI-fECG technique. These include beat-to-beat variations (RR-interval), PR interval, QRS interval, QT interval and ST segment. We will correlate this information to clinical parameters, such as neonatal outcome (pH, Apgar score) and several maternal parameters (BMI, analgesia during labour, gestational age, use of medication, maternal health status). Moreover, if possible in this dataset, we aim to provide reference values of the durations of the various waveform details. | — |