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Pregnancy Complications clinical trials

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NCT ID: NCT01019785 Enrolling by invitation - Clinical trials for Pregnancy Complication

Vitamin D During In Vitro Fertilisation (IVF) - A Prospective Randomized Trial

Delivery
Start date: November 2009
Phase: Phase 3
Study type: Interventional

During IVF treatment women will be randomized into supplementation with a high or a low dose of Vitamin D Main outcome Laboratory pregnancy, live pregnancy at 12 weeks, Baby take home rate, OHSS Secondary outcome: 1. Pregnancy complications (pregnancy hypertension, SGA, Diabetes) 2.Thrombin generation

NCT ID: NCT00967382 Completed - Pregnancy Clinical Trials

TIPPS: Thrombophilia in Pregnancy Prophylaxis Study

TIPPS
Start date: July 2000
Phase: Phase 3
Study type: Interventional

The TIPPS trial seeks to determine the safety and effectiveness of low-molecular-weight heparin (LMWH), an anticoagulant, in preventing placenta mediated pregnancy complications and venous thromboembolism (VTE) in women with thrombophilia. Thus, the principal research question is: can LMWH prevent thrombosis in the leg veins, pulmonary arteries and placental vessels, thereby reducing the risk of deep vein thrombosis, pulmonary embolism (PE), intrauterine growth restriction (IUGR), preeclampsia, miscarriage and stillbirth?

NCT ID: NCT00946088 Active, not recruiting - Clinical trials for Pregnancy Complications

Progesterone for Maintenance Tocolysis: A Randomized Placebo Controlled Trial

Start date: October 2009
Phase: Phase 2/Phase 3
Study type: Interventional

Preterm delivery is the most common cause of infant morbidity and mortality in the United States. Some women have episodes of preterm labor during their pregnancy which can be temporarily stopped. These women, however, are at high risk for delivering before term. At this time, we do not have sufficient evidence to use any medication to help prevent these women from delivering early. Recently, preliminary studies have shown that progesterone may help prevent some women at high risk for preterm delivery from delivering early. Our study will investigate whether progesterone can help this specific group of women, women with arrested preterm labor, deliver healthy infants at term.

NCT ID: NCT00901758 Completed - Breech Presentation Clinical Trials

Intravenous (IV) Nitroglycerin for Versions in Multiparous Women

INVERT (02)
Start date: March 2003
Phase: N/A
Study type: Interventional

Breech presentations (where a baby presents with feet or bottom down) have an increased risk of perinatal and neonatal complications, and are usually delivered by cesarean section. As an alternative, so that the baby can be delivered vaginally, an attempt can be made to turn the baby so that it is head down: this manoeuvre is called an external cephalic version (ECV). Drugs that relax the uterus (tocolytic agents) are sometimes used to help improve ECV success rates. Nitroglycerin is a tocolytic agent, but intravenous nitroglycerin has not been tested as an agent to help ECV. There is some suggestion that nitroglycerin may be more helpful in women who have not previously been pregnant (nulliparous women) than in women who have been pregnant more than once (multiparous women), and so we have planned two trials. This study is designed to answer the following questions for multiparous women: Will administration of IV nitroglycerin for uterine relaxation improve ECV success rates? Will an increase in ECV success result in a decreased cesarean section rate?

NCT ID: NCT00896311 Completed - Breech Presentation Clinical Trials

Intravenous (IV) Nitroglycerin for Versions in Nulliparous Women

INVERT (01)
Start date: March 2003
Phase: N/A
Study type: Interventional

Breech presentations (where a baby presents with feet or bottom down) have an increased risk of perinatal and neonatal complications, and are usually delivered by cesarean section. As an alternative, so that the baby can be delivered vaginally, an attempt can be made to turn the baby so that it is head down: this manoeuvre is called an external cephalic version (ECV). Drugs that relax the uterus (tocolytic agents) are sometimes used to help improve ECV success rates. Nitroglycerin is a tocolytic agent, but intravenous nitroglycerin has not been tested as an agent to help ECV. There is some suggestion that nitroglycerin may be more helpful in women who have not previously been pregnant (nulliparous women) than in women who have been pregnant more than once (multiparous women), and so we have planned two trials. This study is designed to answer the following questions for nulliparous women: Will administration of IV nitroglycerin for uterine relaxation improve ECV success rates? Will an increase in ECV success result in a decreased cesarean section rate?

NCT ID: NCT00821379 Completed - Clinical trials for Pregnancy Complications

CoPPer Study - Complications of Polycystic Ovary Syndrome (PCOS) Pregnancy: Evaluating Risk

CoPPer
Start date: April 2008
Phase: N/A
Study type: Observational

The CoPPer study is a follow-up study of women diagnosed with Polycystic Ovary Syndrome (PCOS). Women will be included pre-conceptional and followed-up until after delivery. The investigators will design a multivariate prediction model of pregnancy outcome in women with PCOS with the intention to define intervention strategies for the future.

NCT ID: NCT00795561 Completed - Pregnancy Clinical Trials

Management of Nausea and Vomiting of Pregnancy

DIM
Start date: April 2009
Phase: N/A
Study type: Interventional

Upto 80% of all pregnant women experience some form of nausea and vomiting (NVP) during their pregnancy. Hyperemesis gravidarum, a more severe form of NVP affects approximately 0.3- 2.0% of pregnancies and is the commonest indication for admission to hospital in the first half of pregnancy and second only to preterm labor as a cause of hospitalization overall. According to the Hyperemesis Education and Research Foundation, conservative estimates indicate that HG can cost a minimum of $200 million annually in house hospitalizations in the United States of America. The investigators aim to conduct a randomized controlled trial to test the hypothesis that the availability of day care services for the initial treatment of NVP reduces the mean duration of stay in hospital by 1 day and results in significantly greater patient satisfaction compared with standard inpatient management.

NCT ID: NCT00746551 Completed - Anemia Clinical Trials

Intravenous Versus Oral Iron in Late Pregnancy: Results of Treatment

EIVF
Start date: September 2008
Phase: Phase 4
Study type: Interventional

The purpose of this study is to compare the efficacy of body iron storage replenishment between low dose intravenous iron and oral iron in late pregnancy.

NCT ID: NCT00700232 Completed - Clinical trials for Intrahepatic Cholestasis of Pregnancy

ABCB4 Gene Mutations in Intrahepatic Cholestasis of Pregnancy and Controls

Start date: July 2006
Phase: N/A
Study type: Observational

Mutations of the ATP binding cassette subfamily B member 4 (ABCB4) gene, a gene involved in a subtype of progressive familial intrahepatic cholestasis, have been reported in women suffering from intrahepatic cholestasis of pregnancy. The true incidence and the role of these ABCB4 gene mutations in patients suffering from intrahepatic cholestasis of pregnancy have not been clearly established. The aim of the present study is to describe the nature and frequency of these mutations in a series of patients with intrahepatic cholestasis of pregnancy and to compare with a control group of pregnant women without intrahepatic cholestasis of pregnancy.

NCT ID: NCT00678080 Completed - Clinical trials for Pregnancy Complications

Metformin Versus Insulin in Pregnant Women With Type 2 Diabetes

Start date: September 2008
Phase: N/A
Study type: Interventional

Pregnant women with type 2 diabetes mellitus (T2DM) are at increased risk for miscarriages, birth defects, large infants, and stillbirths. Maintaining blood sugars in the normal range decreases these pregnancy complications. We hypothesize that metformin will achieve similar levels of blood sugar control compared to insulin. In doing so, metformin will prevent the increased risk of pregnancy complications associated with T2DM in pregnancy. We propose a pilot study of a randomized, controlled trial of metformin versus insulin in the treatment of T2DM during pregnancy.