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Maternal Serum Homocysteine Levels and Uterine Artery Pulsatility Indices in Preterm Labor

Completed
Conditions
Preterm Labor
Registration Number
NCT03440281
Lead Sponsor
Benha University
Brief Summary

Study included all pregnant women admitted with threatened preterm labor during the study period. All participants underwent estimation of maternal serum homocysteine level and assessment of uterine artery Doppler indices.

Detailed Description

Prospective cohort study. Study approval by local ethics committee. Informed written consent. Study included all pregnant women admitted with threatened preterm labor during the study period. All participants underwent estimation of maternal serum homocysteine level and assessment of uterine artery Doppler indices.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
200
Inclusion Criteria
  • Singleton pregnancy
  • More than 28 and less than 35 gestational weeks.
  • Threatened preterm labor
Exclusion Criteria
  • Medical disorders complicating pregnancy
  • Obstetric conditions complicating pregnancy (e.g., placenta previa, multiple gestation,PPROM, ....etc)
  • Fetal anomalies or distress

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The accuracy of serum homocysteine levels and uterine artery pulsatility indices (UtA-PI ) for prediction of preterm laborSingle measurement at the end of the study ( around 37 gestational weeks)

Sensitivity (%), specificity (%), positive predictive value (%), negative predictive value (%), positive likelihood ratio (number), negative likelihood ratio (number), accuracy (%) of serum homocysteine and UtA-PI for prediction of preterm labor

Secondary Outcome Measures
NameTimeMethod
Gestational age at deliverySingle measurement at the end of the study ( around 37 gestational weeks)

Gestational age at delivery (Weeks),

Demographic and clinical characteristics of the study groupsSingle measurement on the day one of hospital admission between 28-35 gestational weeks

Maternal age (year), Body mass index (kilogram per squared meter), Gestational age at admission (Weeks), Maternal serum Homocysteine level ( micromoles/liter), uterine artery pulsatility index ( number)

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