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The purpose of this study is to determine whether sildenafil is effective and safe in the treatment of fetal growth restriction.
Fetal growth retardation affects up to 8% of all pregnancies and has massive short term (increased fetal morbidity and mortality) and long-term (increased incidence of cardiovascular disorders in adulthood) health implications.
Doppler waveform analysis of these pregnancies suggests compromised uteroplacental circulation and placental hypoperfusion.
Our aim is to assess if sildenafil citrate could improve vasodilatation in FGR pregnancies.
Sildenafil citrate may offer a potential therapeutic strategy to improve uteroplacental perfusion in FGR.
Animal studies suggest that phosphodiesterase-5 (PDE5) inhibitors, such as sildenafil citrate, may improve uterine blood flow .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sildenafil | Experimental |
| |
| Placebo control | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sildenafil | Drug | 50 mg TDS orally until birth |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Uteroplacental Perfusion | 2 hours after sildenafil ingestion |
| Measure | Description | Time Frame |
|---|---|---|
| fetal growth | after 6 months | |
| umbilical artery blood gass assessment | immediately after birth | |
| effect on fetal well being |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| sayedeh afagh hosseini, M.D. | Contact | +989188111670 | afahoss@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| marzieh vahid dastjerdi, M.D. | Iranian's ministery of health | Study Chair |
| Sayedeh Afagh Hosseini, MD. | resident of OB&GYN | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tehran UMS | Recruiting | Tehran | Tehran Province | Iran |
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| ID | Term |
|---|---|
| D005317 | Fetal Growth Retardation |
| ID | Term |
|---|---|
| D005315 | Fetal Diseases |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D000068677 | Sildenafil Citrate |
| ID | Term |
|---|---|
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013450 | Sulfones |
| D013457 |
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| placebo | Drug | 50mg tid |
|
|
when BP score is<8 we repeat it after sildenafil ingestion |
| 2 hours after sildenafil |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006130 | Growth Disorders |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Sulfur Compounds |
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |