Neonatal Diseases Pregnancy and Childbirth Fetal growth restriction, Small for gestational age fetus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a) Aged ¿18 and <40 years; b) Body Mass Index (BMI) ¿18.5 and <30 kg/m2 ¿¿ c) Singleton pregnancy d) A known lass menstrual period (LMP) with regular cycles or a having had a dating/Crow Rump Length (CRL) scan between 11-14 weeks e) No relevant past medical history (refer to screening form), with no need for long- term medication (including fertility treatment and over-the-counter medicines, but ¿excluding routine iron, folate, calcium, iodine or multivitamin supplements)¿¿ f) No use of tobacco or recreational drugs after becoming pregnant g) No alcohol use since ¿becoming pregnant h) No more than one miscarriage in the 2 previous consecutive pregnancies i) No previous pregnancy affected by pre-eclampsia/eclampsia, HELLP syndrome or ¿a related pregnancy-associated condition j) Negative urinalysis at booking ¿ k) No diagnosis or treatment for anemia 3 months before or after becoming pregnant l) Not in an occupation with risk of exposure to chemicals or toxic substances, or ¿very physically demanding activity ¿ m) Plans to deliver at AKUH
Exclusion criteria
Exclusion criteria: a) Congenital anomalies b) Abnormal glucose tolerance test (GTT) in current pregnancy c) Any form of pregnancy induced hypertension d) Obstetric cholestasis e) Low lying placenta/placenta previa, who need scheduled follow-up scans f) Suspected early onset fetal growth restriction on regular ultrasound monitoring
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of fetal growth restricted fetus;proportion of small for gestational age fetus | — |
Secondary
| Measure | Time frame |
|---|---|
| Birthweight in grams;Umbilical artery PH<7.1;Apgar core of less than 7 at 5 minutes;admission to NICU;Stillbirth;Caesarean section;operative vaginal delivery | — |
Countries
Kenya
Contacts
Senior Instructor