Gut Microbiota, SCFAs and Glucolipid Metabolism in Pregnant Women With Abnormal Fetal Size and Their Newborns
- Conditions
- Fetal MacrosomiaFetal Growth RestrictionGlucolipid MetabolismGut Microbiota
- Interventions
- Other: test gut microbiota, SCFAs and glucolipid metabolism and insulin sensitivity
- Registration Number
- NCT04399434
- Lead Sponsor
- Second Affiliated Hospital of Wenzhou Medical University
- Brief Summary
Abnormal fetal size includes fetal growth restriction and fetal macrosomia. Onset is closely related to maternal nutrition metabolism. The specific correlation and mechanism is unclear, and there are no effective measures for early diagnosis and treatment. Previous study found that maternal gut microbiota participates in the material metabolism throughout the pregnancy. Insulin sensitivity in pregnant women, and intrauterine environment under abnormal blood glucose and lipid metabolism are important for the gut microbiota of newborns and even they grow up. However, changes in gut microbiota are the cause of the disease or the outcome is not yet clear. Short chain fatty acids (SCFAs) are produced from soluble dietary fibers in the diet by colon bacteriolysis. Studies have found that gut microbiota can regulate insulin sensitivity and glucose and lipid metabolism disorders through SCFAs. Therefore, this research group uses the gut microbiota as a new idea to studythe relationship of gut microbiota characteristics and level's change of SCFAs with glucolipid metabolism and insulin sensitivity in pregnant women with abnormal fetal size and their newborns through 16S-rRNA high-throughput sequencing, pyrosequencing, and gas chromatography-mass spectrometry, so we can reveal the role of gut microbiota in the pathogenesis of abnormal fetal size and explore targeted rational dietary adjustment and SCFAs reconstruction of gut microbiota to improve maternal and neonatal pregnancy outcomes.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 120
- Singleton pregnancy
- Term pregnancy with the gestational age of 37-40 weeks
- Maternal systemic diseases (hypertension disorders, immunological diseases) or pregnant complications (polyhydramnios, oligohydramnios, diabetes mellitus, intrahepatic cholestasis of pregnancy)
- Delivery before 37 weeks or after 40 weeks
- Neonates had major congenital malformations (congenital anal atresia, congenital biliary atresia, congenital heart disease)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description normal pregnancy test gut microbiota, SCFAs and glucolipid metabolism and insulin sensitivity pregnancy with a normal fetal size fetal growth restriction test gut microbiota, SCFAs and glucolipid metabolism and insulin sensitivity fetal birth weight is below two standard deviations of the average weight for the same gestational age, or below the 10th percentile of normal weight for the same age fetal macrosomia test gut microbiota, SCFAs and glucolipid metabolism and insulin sensitivity fetal birth weight ≥ 4000g
- Primary Outcome Measures
Name Time Method Gut Microbiota and SCFAs in mothers and their newborns Stool samples from pregnant women with 37-40 gestational week and newborns within 3 days after birth Collect the DNA of fecal flora to test the diversity and abundance of gut microbiota as well as short chain fatty acids in Stool samples
glucolipid metabolism and insulin sensitivity in pregnant women Blood samples from pregnant women with 37-40 gestational week glucolipid metabolism and insulin sensitivity in pregnant women with normal and abnormal fetal size
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
department of obstetrics of Second Affiliated Hospital of Wenzhou Medical University
🇨🇳Wenzhou, Zhejiang, China