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In this study, the investigators planned to investigate maternal serum pepsinogen-1 (MSPG-1) levels in pregnant women with severe hyperemesis gravidarum (HG) and pregnant women without severe HG.
HG is the most common cause of hospitalization in the first trimester of pregnancy and represents an economic burden on the healthcare system. Therefore, our aim in this study was to investigate whether there is a statistical difference in MSPG-1 levels between pregnant women with severe HG and pregnant women without severe HG and to determine a cut-off value for MSPG-1 levels for the indication of hospitalization of pregnant women with HG.
The study poses no risk to the pregnant woman or the fetus.
The study will enroll pregnant women in the first trimester with maternal age between 21 and 35 years who were diagnosed with hyperemesis gravidarum and had no fetal congenital or chromosomal abnormalities and who were admitted to the perinatology outpatient clinic of Etlik City Hospital. The investigators will include 40 cases with no signs and diagnosis of systemic maternal disease and no chronic drug use as a case group and 40 healthy pregnant women matched for age, gestational week and body mass index as a control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | pregnant women with hyperemesis gravidarum |
| |
| Control group | pregnant women without hyperemesis gravidarum |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pepsinogen-1 | Other | association between pepsinogen 1 serum level with hyperemesis gravidarum |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pepsinogen-1 serum level | pepsinogen-1 serum level was determined with blood samples taken from pregnant women with hyperemesis gravidarum and control group. | between 5 and 14 weeks of pregnancy |
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Inclusion Criteria:
Exclusion Criteria:
pregnant women
The singleton pregnant women who were diagnosed with hyperemesis gravidarum were included in the study group (group I) and the singleton pregnant women who had a healthy pregnancy were included in the control group (group II). For each pregnant woman who met the inclusion and exclusion criteria and was eligible for Group I, the first patient in the ranking order of the files who met the criteria previously mentioned in the Materials and Methods section was selected for Group II.
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| Name | Affiliation | Role |
|---|---|---|
| Sevki Celen, MD | Ankara Etlik City Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Etlik City Hospital | Ankara | Yenimahalle | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29243850 | Result | Song M, Camargo MC, Weinstein SJ, Murphy G, Freedman ND, Koshiol J, Stolzenberg-Solomon RZ, Abnet CC, Mannisto S, Albanes D, Rabkin CS. Serum pepsinogen 1 and anti-Helicobacter pylori IgG antibodies as predictors of gastric cancer risk in Finnish males. Aliment Pharmacol Ther. 2018 Feb;47(4):494-503. doi: 10.1111/apt.14471. Epub 2017 Dec 15. | |
| 33199102 |
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Data are available on request only due to ethical, legal or commercial reasons
two or three months
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| ID | Term |
|---|---|
| D006939 | Hyperemesis Gravidarum |
| D011248 | Pregnancy Complications |
| ID | Term |
|---|---|
| D048968 | Morning Sickness |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D014839 | Vomiting |
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Singleton nulliparous pregnant women who had been diagnosed with hyperemesis gravidarum in first trimester had blood samples taken at 8:00 am on the first visit to the outpatient clinic after an 8-hour fasting state
| Han ML, Liou JM, Ser KH, Chen JC, Chen SC, Lee WJ. Changes of serum pepsinogen level and ABC classification after bariatric surgery. J Formos Med Assoc. 2021 Jun;120(6):1377-1385. doi: 10.1016/j.jfma.2020.10.029. Epub 2020 Nov 14. |
| 30287174 | Result | Wei W, Zhang W, Li C, Kong H, Guo Z, Zhang Z, Bastien F, Gong Y, Wang H, Zhou L. Label-free detection of pepsinogen 1 and 2 by polyethylene coating Lamb microfluidic device. Biosens Bioelectron. 2019 Mar 15;129:231-237. doi: 10.1016/j.bios.2018.09.075. Epub 2018 Sep 21. |
| 41776488 | Derived | Sucu S, Firatligil FB, Kurt A, Dereli ML, Pay RE, Ozkan S. Maternal serum pepsinogen-1 levels in severe hyperemesis gravidarum and the need for hospitalization: a prospective study. BMC Pregnancy Childbirth. 2026 Mar 4;26(1):230. doi: 10.1186/s12884-026-08887-8. |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |