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Number of Previous Cesarean Sections on the Results of Angiogenic Factors.

S

Saint Thomas Hospital (HST)

Status

Not yet enrolling

Conditions

Cesarean Section

Treatments

Diagnostic Test: sFlt-1/PGIF

Study type

Observational

Funder types

Other

Identifiers

NCT06166303
U1111-1301-2580

Details and patient eligibility

About

Hypertensive disorders of pregnancy (HPT) are an important cause of maternal-feto-neonatal morbidity and mortality, being one of the three leading causes of maternal death in our country and in developing countries. The only cure for THE is termination of pregnancy, which ends up being a decision in which gestational age and maternal risks must be balanced. Angiogenic factors have come to occupy an indispensable place in the arsenal of tools that can be used to separate the patient with a high likelihood of complications from those in whom prolongation of pregnancy could represent an important neonatal benefit.

Although the usefulness of angiogenic factors in these scenarios is known, little is known about the effects that other conditions might have on their serum levels, mainly those that have an effect on trophoblastic invasion, the process that initiates implantation of the pregnancy in the endometrium. The purpose of the present study is to assess the effect that a history of uterine surgery, such as caesarean section, might have on angiogenic factor scores in subjects with no history of a hypertensive disorder of pregnancy.

Enrollment

540 estimated patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 36 weeks of gestation or more
  • Singleton pregnancy
  • Previous cesarean section (case)

Exclusion criteria

  • Vasculitis
  • Twin pregnancy
  • Chronic endometritis
  • Smoking
  • Lupus
  • Renal failure
  • Liver disease
  • Thrombocytopenia

Trial design

540 participants in 2 patient groups

Previous Cesarean Section
Description:
Subjects with one or more previous cesarean sections
Treatment:
Diagnostic Test: sFlt-1/PGIF
No Cesarean
Description:
Subjects scheduled for an elective or urgent cesarean, but no history of previous cesarean section
Treatment:
Diagnostic Test: sFlt-1/PGIF

Trial contacts and locations

1

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Central trial contact

Osvaldo Reyes, MD

Data sourced from clinicaltrials.gov

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