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| Name | Class |
|---|---|
| Spanish Clinical Research Network - SCReN | NETWORK |
Preeclampsia (PE) and intrauterine growth restriction (IUGR) are clinical manifestations of placental insufficiency. These complications affect 5-15% of pregnancies, and are responsible for up to 20% of preterm births. Women who develop PE during pregnancy also have an increased risk for cardiovascular events, both at short and long term. This justifies the need to improve diagnostic tools to identify patients at risk for these complications. PE and IUGR are multifactorial entities. Screening algorithms should thus include several parameters to achieve high detection rates. Research has mainly focused in the analysis of biophysical and biochemical parameters, and the study of the placenta itself has not been included in current diagnostic strategies. Investigators hypothesize that detection rates of preeclampsia and intrauterine growth restriction could be improved by the study of placental characteristics in the first trimester of pregnancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case cohort | Patients with pregnancies complicated by placental insufficiency (preeclampsia and/or intrauterine growth restriction) will be included in this cohort. |
| |
| Control cohort | Patients with pregnancies not complicated by placental insufficiency (preeclampsia and/or intrauterine growth restriction) will be included in this cohort. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound study of the placenta | Other | The placenta will be scanned to measure the placental volume, chorionic plate, basal plate and thickness. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Development of preeclampsia | Pre-eclampsia is diagnosed after 20 week of gestation with systolic blood pressure equal to or greater than 140 mmHg, diastolic blood pressure equal to or greater than 90 mmHg and proteinuria greater than or equal 0.3 g/d by 24 hour urine collection | Up to birth |
| Development of intrauterine growth restriction | Intrauterine growth restriction is defined as birthweight below 10th centile according to local standards | At birth |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with singleton pregnancies and ultrasonographic evaluation between 11+0 and 13+6 weeks of gestation
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| Name | Affiliation | Role |
|---|---|---|
| Cristina Trilla, MD | Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de la Santa Creu i Sant Pau | Barcelona | 08026 | Spain |
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Serum samples from the first blood test performed during pregnancy
| Measurement of angiogenic and anti-angiogenic factors (sFlt-1 and PlGF) in the first trimestre blood test | Other |
|
| ID | Term |
|---|---|
| D011225 | Pre-Eclampsia |
| D005317 | Fetal Growth Retardation |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005315 | Fetal Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006130 | Growth Disorders |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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