Determining the Risk Elevation After Maternity (DREAM)

Ottawa Hospital Research Institute

Status

Unknown

Conditions

Preeclampsia

Treatments

Other: Observational

Study type

Observational

Funder types

Other

Identifiers

NCT02305745

20140799-01H

Details and patient eligibility

About

Evaluating the long term cardiovascular risks of those mothers who have been diagnosed with preeclampsia in pregnancy.

Full description

Preeclampsia is a complication of pregnancy that happens in about 5-7% of all births. It is diagnosed when a mother has high blood pressure in pregnancy combined with protein in the urine which is sign that the kidneys are not functioning properly. When a mother has preeclampsia, the placenta makes abnormal amounts of several important proteins that damage the lining of the mother's blood vessels. The blood vessel damage that occurs places women at up to 10 times higher risk of having a heart attack or stroke at a younger age than women who did not have preeclampsia. It usually takes between 8 and 15 years after preeclampsia is diagnosed for the first heart attack or stroke to occur.

Unfortunately, this blood vessel damage is usually silent, meaning that women and their doctors are not aware of it. This makes it hard to predict which women are at highest risk of a heart attack or stroke and therefore need extra medical care to prevent it. Abnormal levels of the placenta proteins in the blood (right after delivery and at three and six months after delivery) as well as abnormalities of the placenta itself may be the earliest way to predict which women with preeclampsia are at risk of premature heart disease or stroke.

The purpose of this study is to collect blood and placentas from women with preeclampsia and without preeclampsia to measure and compare the levels of proteins in the blood and find abnormalities of the placentas that are associated with preeclampsia. We will then see if these tests can predict which women will go on to develop high blood pressure and ultimately be at higher risk of premature heart attack or stroke after pregnancy.

Enrollment

55 estimated patients

Sex

Female

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Women with a pregnancy complicated by pre-eclampsia and women who are healthy and have had a normal singleton pregnancy(controls)

Exclusion criteria

Women with any of the following conditions will be excluded in both the control & preeclampsia groups:

known kidney disease prior to pregnancy or laboratory evidence of proteinuria prior to pregnancy
diabetes (Type I, Type II or Gestational Diabetes)
known Cardiovascular Disease (myocardial infarction, angina, stroke, or transient ischemic attack
multiple pregnancies (twins or more)
who do not understand English or French will be excluded In addition to those listed above, for the control group, women must have no other major maternal pregnancy complications.