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About
The purpose of this study is to test the application of newly generated magnetic resonance imaging (MRI) protocols for the assessment of placental perfusion in human subjects. The primary objective is to validate and establish the utility of placental MRI in pregnant women. The study will be entirely MRI-technology based with collection of placental tissue at the time of infant delivery for later correlative studies.
Full description
The placenta provides all the nutrition from a pregnant mother to a developing fetus. A placenta that functions normally is needed to ensure normal fetal growth and development. Unfortunately, the placenta is the least understood human organ even though it is involved in all pregnancy complications. The placenta is so poorly understood because our current methods to look at it during pregnancy, like ultrasound, do not provide enough information about placental growth and function.
This study will help provide information about:
How the placenta grows and develops during pregnancy How the placenta delivers nutrients, like oxygen to the developing fetus If placental function using new advanced imaging tools can predict pregnancy complications like fetal growth restriction, stillbirth, preeclampsia and preterm labor
This study will explore how blood flow to the placenta affects placental growth, fetal growth, and oxygen delivery to the fetus. Blood flow to the placenta may determine how the placenta supports fetal growth and development. Having a way to measure placental function during pregnancy may provide a way to understand normal pregnancies but importantly also identify pregnancies at increased risk for pregnancy complications.
Additionally we want to have an ancillary intrauterine growth restriction (IUGR) arm; the objective of this ancillary study is to test the sensitivity of the placental MRI protocol in women with confirmed cases of IUGR in the third trimester.
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Inclusion and exclusion criteria
Pregnant women will be recruited based on inclusion criteria for 3 subject groups:
Inclusion criteria: Pregnant women fulfilling inclusion criteria, and not meeting exclusion criteria, will be invited to participate in this study.
Inclusion criteria for all groups:
Inclusion criteria for low risk group:
Inclusion criteria for high risk group:
Exclusion criteria: These criteria will exclude women whose medications, personality traits or obstetric conditions could confound their ability to complete a 1 hour MRI scan.
Individuals with intellectual disability or who are incarcerated
Multiple gestation
Major fetal anomalies known to be associated with abnormal growth (i.e. major congenital heart defect, gastroschisis)
Current maternal history of alcohol or illicit drug use
Current medical problems requiring chronic treatment:
Prior history of claustrophobia
Metal implants
Increased aneuploidy risk based on ultrasound findings or genetic testing
379 participants in 4 patient groups
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Data sourced from clinicaltrials.gov
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