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| Name | Class |
|---|---|
| Ziekenhuis Oost-Limburg | OTHER |
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Background:
Multiple adaptations at the cardiovascular system occurs during pregnancy. In the pregnancy condition pre-eclampsia (PE), this adaptations are abnormal. Five to eight percent of all pregnant women worldwide will develop PE.
PE is a pregnancy condition which is characterized with a high blood pressure (>140/90 mm Hg) and the occurrence of proteinuria (>3g/dl/24h) after 20 weeks of gestation. When untreated, this condition can have severe complications for both mother and child. It's important to monitor women with a high risk for developing PE for an early detection and treatment of this condition.
For this reason, a multicenter study is set up with the following applications:
Number of inclusions: 2000 pregnant women from the prenatal consultations of eight different hospitals:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | ||
| remote monitoring group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| remote monitoring | Device | Intervention Description: Patients can participate in the study when they're 10 weeks pregnant. At 10 weeks: a NICCOMO, Maternal Venous Doppler Echography and Maltron measurement will be taken. This measurement will be repeated at 20 weeks of pregnancy, and 30 weeks of pregnancy when they're aberrant. When the measurements are abnormal, the patients will be included in the remote monitoring study. The following protocol and devices will be applied: Device What When Withings Wireless Blood Pressure Monitor Blood Pressure 2x/day Withings Pulse O² Activity Day and night Withings Smart Body Analyzer Weight 1x/day |
| Measure | Description | Time Frame |
|---|---|---|
| Niccomo measurement | The NICOMMO can record can record multiple haemodynamic parameters uninterrupted and reliable in an objective manner by using Impedance Cardiography. This technology is simple and non-invasive, and safe for pregnant women. The aim of this course is to describe the course of these parameters through normal pregnancies, and to examine any abnormalities in pre-eclamptic pregnancies. In view of the fact that in pre-eclampsia certain cardiovascular parameters are abnormal during several weeks before the disease becomes clinically manifest, this device might have a potential role in the prediction of pre-eclampsia in the future. | 10 weeks of pregnancy |
| Niccomo measurement | The NICOMMO can record can record multiple haemodynamic parameters uninterrupted and reliable in an objective manner by using Impedance Cardiography. This technology is simple and non-invasive, and safe for pregnant women. The aim of this course is to describe the course of these parameters through normal pregnancies, and to examine any abnormalities in pre-eclamptic pregnancies. In view of the fact that in pre-eclampsia certain cardiovascular parameters are abnormal during several weeks before the disease becomes clinically manifest, this device might have a potential role in the prediction of pre-eclampsia in the future. | 20 weeks of pregnancy |
| Systolic and Diastolic Blood pressure monitoring | 10 weeks of pregnancy | |
| Systolic and Diastolic Blood pressure monitoring | 20 weeks of pregnancy | |
| a maternal Venous Doppler Echochraphy | In cardiology, a combined ultrasound ECG study provides important information about the functioning of the heart, especially with regard to the "stiffening" of the heart and blood vessel walls. It is known that in pre-eclampsia the blood vessel walls stiffen. Up to now it has never been investigated whether a combined Echo-ECG study can provide information about the degree of vascular wall stiffening. This study component checks which reference values are in normal pregnancy and whether these differ from pre-eclamptic pregnancies. |
| Measure | Description | Time Frame |
|---|---|---|
| birth weight | up to six weeks after delivery | |
| gestational age | These data will be measured at the moment of delivery | at the moment of delivery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dorien Lanssens, drs. | Contact | dorien.lanssens@uhasselt.be |
| Name | Affiliation | Role |
|---|---|---|
| Wilfried Gyselaers, prof. dr. | Hasselt University | Principal Investigator |
| Nele Geusens, dr. | Ziekenhuis Oost-Limburg | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ziekenhuis Maas en Kempen | Recruiting | Bree | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32748394 | Derived | Ashworth DC, Maule SP, Stewart F, Nathan HL, Shennan AH, Chappell LC. Setting and techniques for monitoring blood pressure during pregnancy. Cochrane Database Syst Rev. 2020 Jul 23;8(8):CD012739. doi: 10.1002/14651858.CD012739.pub2. | |
| 31464190 | Derived | Vandenberk T, Lanssens D, Storms V, Thijs IM, Bamelis L, Grieten L, Gyselaers W, Tang E, Luyten P. Relationship Between Adherence to Remote Monitoring and Patient Characteristics: Observational Study in Women With Pregnancy-Induced Hypertension. JMIR Mhealth Uhealth. 2019 Aug 28;7(8):e12574. doi: 10.2196/12574. |
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| ID | Term |
|---|---|
| D011225 | Pre-Eclampsia |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| 10 weeks of pregnancy |
| Maltron measurement | The aim of this course is to describe the course of body composition and fluid balance through a normal pregnancy, and to examine any abnormalities in pre-eclamptic pregnancies. | 10 weeks of pregnancy |
| a maternal Venous Doppler Echochraphy | In cardiology, a combined ultrasound ECG study provides important information about the functioning of the heart, especially with regard to the "stiffening" of the heart and blood vessel walls. It is known that in pre-eclampsia the blood vessel walls stiffen. Up to now it has never been investigated whether a combined Echo-ECG study can provide information about the degree of vascular wall stiffening. This study component checks which reference values are in normal pregnancy and whether these differ from pre-eclamptic pregnancies. | 20 weeks of pregnancy |
| Maltron measurement | The aim of this course is to describe the course of body composition and fluid balance through a normal pregnancy, and to examine any abnormalities in pre-eclamptic pregnancies. | 20 weeks of pregnancy |
| Activity tracker | Activity (amount of steps) will be checked to see if there is any correlation between the total amount of steps per day and the development of gestational hypertensive disorders. | 10 weeks of pregnancy |
| Weight | 10 weeks of pregnancy |
| Activity tracker | Activity (amount of steps) will be checked to see if there is any correlation between the total amount of steps per day and the development of gestational hypertensive disorders. | 20 weeks of pregnancy |
| Weight | 20 weeks of pregnancy |
| mode of delivery | at the moment of delivery |
| intentioned start of delivery | at the moment of delivery |
| Ziekenhuis Oost-Limburg | Recruiting | Genk | 3600 | Belgium |
|
| Jessa Ziekenhuis | Recruiting | Hasselt | 3500 | Belgium |
|
| Sint-Fransiscus Ziekenhuis | Recruiting | Heusden-Zolder | Belgium |
|
| Heilig Hart Ziekenhuis | Recruiting | Mol | Belgium |
|
| Mariaziekenhuis Oost-Limburg | Recruiting | Overpelt | Belgium |
|
| Sint-Trudo ziekenhuis | Recruiting | Sint-Truiden | Belgium |
|
| AZ-vesalius | Recruiting | Tongeren | Belgium |
|