Fetal growth restriction function of the heart
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - An imminent iatrogenic preterm birth (between 24 and 34 weeks* gestation) of a growth restricted fetus, receiving antenatal steroids in the context of standard care to promote fetal lung maturation. Fetal growth restriction is defined as an abdominal circumference or estimated fetal weight =10th percentile and no abnormal Doppler findings.
Exclusion criteria
Exclusion criteria: - Age 8 hours ago before the first (baseline) ultrasound; - Pregnant patients who are unable to reasonably assess their interests in participating in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left ventricle longitudinal strain rate at baseline and after administration of antenatal steroids in growth restricted fetuses compared with appropriate for gestational age fetuses. | — |
Secondary
| Measure | Time frame |
|---|---|
| Other speckle tracking- and conventional hemodynamical Dopplerparameters at baseline and after administration of antenatal steroids in growth restricted fetuses compared with appropriate for gestational age fetuses. These parameters include: - Measurements on global-, transverse- and basaleapical longitudinal contractility; - Systolic-, diastolic- and global function parameters: mitral- and tricuspid annular plane systolic excursion, peak early- and late transvalvular filling velocities and left and right myocardial performance index. - Morphometric parameters (left and right sphericity index); - Pulsatility index (PI) in the uterine arteries, umbilical artery, middle cerebral artery and ductus venosus. | — |
Countries
Netherlands