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The purpose of this study is to evaluate the flow of oxygen and blood necessary for nutrient transfer across the placenta during the second and third trimesters in pregnancy in women who are obese before pregnancy compared to women who have an average weight before pregnancy.
This study will evaluate blood flow across the placenta by functional Magnetic Resonance Imaging (fMRI). The investigators hypothesize that there will be differences in placental oxygenation and blood flow among women with obesity as compared to those with normal weight.
Participants will be asked to complete:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Normal Weight | Body Mass Index (BMI) 18.5-24.9 kg/m^2 |
| |
| Obese | Pre-pregnancy Body Mass Index (BMI) ≥ 30.0 kg/m^2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| functional Magnetic Resonance Imaging (fMRI) | Diagnostic Test | Participants will undergo a functional Magnetic Resonance Imaging (fMRI) using arterial spin labeling (ASL) and other Magnetic Resonance (MR) sequences |
| Measure | Description | Time Frame |
|---|---|---|
| Inter - rater reliability of assessing placental blood flow by arterial spin labeling (ASL) | Evaluated using a two-way mixed intraclass correlation coefficient for consistency | 6 weeks after the delivery |
| Mean placental perfusion in second and third trimester | The mean global placental perfusion of second and third-trimester placentas among participants with obesity (Body Mass Index measured in kg/m^2, calculated using weight in kilograms and height in meters) as compared to those with a normal weight (kilograms) before pregnancy will be evaluated. | 6 weeks after the delivery |
| Mean R2* relaxation rates in second and third trimester | the Mean R2* relaxation rates will be used to correlate the global placental perfusion of second and third trimester placentas with measurements of placental oxygenation. | 6 weeks after the delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Perinatal outcomes including hypertensive disorders of pregnancy, gestational diabetes, preterm birth, small for gestational age, NICU admission, and stillbirth. | The prevalence and incidence of outcomes such as hypertensive disorders of pregnancy, gestational diabetes, preterm birth, small for gestational age, NICU (Neonatal Intensive Care Unit) admission, stillbirth will be assessed. | 6 weeks after the delivery |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant people at 20-24 weeks gestation. 15 obese (OB) women and 15 normal weight (NW) will be recruited to participate in the study.
OB is defined as pre-pregnancy body mass index greater than or equal to 30 kg/m2, and NW is defined as pre-pregnancy body mass index between 18.5-24.9 kg/m2 without comorbidities.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alexandra Mangus | Contact | (847) 570-2243 | alexandra.mangus@endeavorhealth.org | |
| Caitlin A MacGregor, MD | Contact | (847) 570-4729 | caitlin.macgregor@endeavorhealth.org |
| Name | Affiliation | Role |
|---|---|---|
| Caitlin MacGregor | Endeavor Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endeavor Health | Recruiting | Evanston | Illinois | 60201 | United States |
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| ID | Term |
|---|---|
| D001835 | Body Weight |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D008279 | Magnetic Resonance Imaging |
| ID | Term |
|---|---|
| D014054 | Tomography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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