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| Name | Class |
|---|---|
| New York University | OTHER |
| Society for Obstetric Anesthesia and Perinatology | OTHER |
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This study will recruit women with post partum pre-eclampsia and match them to controls without postpartum pre-eclampsia to identify an epigenetic signature that is specific to women with post partum pre-eclampsia to help characterize the underlying pathophysiology of post partum pre-eclampsia.
Preeclampsia (PEC) is a heterogeneous disease that complicates 5-8% of pregnancies. Approximately 10% of PEC patients will present with post-partum PEC without having developed the syndrome during the pregnancy (PP-PEC). Management of post-partum preeclampsia (PP-PEC) is challenging because many women do not seek care until neurologic symptoms result from severe-range elevated blood pressure. The pathogenesis and clinical characteristics of PP-PEC are understudied and poorly understood. Identifying clinical risk factors and biomarkers of PP-PEC would help to identify women at risk.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| post partum pre-eclampsia | women with normal deliveries followed by post partum pre-eclampsia within 1 month of delivery. |
| |
| controls | women with normal deliveries and normal post part courses who match the post partum pre-eclampsia women in age, BMI, smoking status, gestational age and race/ethnicity. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| no intervention | Other | database and epigenetic study |
|
| Measure | Description | Time Frame |
|---|---|---|
| methylation signature on circulating monocytes | 1 week post delivery |
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Inclusion Criteria:
Matching based on:
Exclusion Criteria:
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Women who present to the hospital with postpartum pre-eclampsia are matched with women who never have PP-PEC (post-partum preeclampsia).
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Louise Meng, MD | Columbia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Columbia University Medical Center | New York | New York | 10023 | United States | ||
| Duke University Medical Center |
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DNA will be isolated from the whole blood.
| Durham |
| North Carolina |
| 27710 |
| United States |