neurologische ontwikkeling (t/m 2 jaar) van kinderen geboren uit een sFGR zwangerschap. Selective fetal growth restriction (sFGR)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - MCDA twin pregnancy - Diagnosis of sFGR before 28+0 weeks of GA (independent of Doppler flows) - Pregnant woman >= 18 years and able to consent - Partner (if applicable) >= 18 years and able to consent - Written informed consent of the pregnant woman (for the antenatal study) and of both parents (if applicable) for participation in the longitudinal follow-up)
Exclusion criteria
Exclusion criteria: - The presence of lethal anomalies (one or both fetuses) - Multiple pregnancy higher order than twins; - TTTS/TAPS present at moment of sFGR diagnosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite outcome on a pregnancy level, consisting of the occurrence of one of the following: - Fetal demise of one or both twins (including selective reduction), and/or: - Iatrogenic elective birth | — |
Secondary
| Measure | Time frame |
|---|---|
| For the full list, we kindly refer to chapter 5.1.2. and 5.1.3. Summary: - Ultrasound parameters (both standard and additional parameters) - Fetal MRI (brain development) - Antenatal characteristics - Maternal, paternal and fetal baseline characteristics - Analysis of sFGR (characteristics and management during pregnancy) - Characteristics of labour - Placental evaluation (macroscopic and microscopic) - Neonatal variables - Neurodevelopmental outcomes at 2 years of age - Psychological impact on parents | — |
Countries
Netherlands