Role of Metformin in treatment of preclampsia
- Conditions
- Health Condition 1: O140- Mild to moderate pre-eclampsia
- Registration Number
- CTRI/2021/08/035925
- Lead Sponsor
- JIPMER
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
All parous women more than 18-45 years with
a diagnosis of one of the following:
a.Pre-eclampsia
b.Preexisting hypertension with evidence of pre-eclampsia
c.Unclassified proteinuric hypertension
Satisfying all these criteria
d.Gestational age between 20 weeks and 36 weeks
e.Singleton pregnancy
f.The managing clinicians have made the assessment to proceed with expectant management and that delivery is not expected within 48â??hours
g.The managing clinician and neonatologist believe that the fetus could potentially be delivered in a viable condition
h.No suspicions of a major fetal anomaly or malformations.
i.The patient will be admitted to the hospital for expectant management and standardized care
Established fetal compromise that necessitates delivery
Eclampsia
Cerebrovascular event
Posterior reversible encephalopathy syndrome
Severe renal impairment, defined as a creatinine level >=125 μmol/l or a need for dialysis
Pulmonary oedema
Left-sided heart failure
Disseminated intravascular coagulation
Platelet count <50Ã?109
Haemolysis, elevated liver enzymes and low platelets syn-drome
Liver transaminases >500 IU/L
Liver hematoma or rupture
Ascites ( >500 ml)
Contraindications or a hypersensitivity reaction to the use of metformin
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method EONATAL-Prematurity, Birth APGAR score at 5 minute),Still birth, <br/ ><br>neonatal death <br/ ><br>MATERNAL-Eclampsia, Renal failure, CVA, HELLP, Death Left ventricular failure, Intubation, duration of mechanical ventilation, cardiovascular support <br/ ><br>Left ventricular failure, Intuba-tion, duration of mechanical ventilation, cardiovascular supportTimepoint: at metormin initiation and at delivery <br/ ><br> <br/ ><br>
- Secondary Outcome Measures
Name Time Method eft ventricular failure, Intuba-tion, duration of mechanical ventilation, cardiovascular supportTimepoint: before delivery