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Pregnancy clinical trials

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NCT ID: NCT02659969 Recruiting - Pregnancy Clinical Trials

PregSource: Crowdsourcing to Understand Pregnancy Observations of Daily Living From Pregnant Women

Start date: January 2016
Phase: N/A
Study type: Observational

Background: Women have many physical and emotional experiences and changes in behavior when they are pregnant. Researchers want to learn more about what happens to pregnant women. These things can range from morning sickness and sleep changes, to health problems and mood changes. They hope to use this data to improve the health of pregnant women and their babies. Objectives: To learn what happens to women physically and emotionally during pregnancy and after they give birth. To understand problems some pregnant women have related to a disability or chronic health problem. Eligibility: Pregnant women ages 18 70 Design: Participants will register themselves online. They will use the PregSource website or app. They will complete an online consent form. Participants will create an account profile. They will answer questions about their pre-pregnancy health and current pregnancy. Participants will complete PregSource questionnaires online or by mobile app. Participants can enter data in a set of health trackers. These are online diaries that capture daily or weekly data. This can be about the participant s weight, nausea symptoms, mood, and sleep. Once a month, each participant will be notified by email, text, or app. This will have a link to a new questionnaire. That will be relevant to her current week of pregnancy. Participants may do online games. These show how memory and other skills change over time. If a participant does not complete her monthly questions, she will get a reminder by email or text. Participants with special conditions or complications may be asked to complete additional questionnaires.

NCT ID: NCT02637739 Recruiting - Pregnancy Clinical Trials

Hysteroscopy for Pregnancy of Unknown Location

Start date: January 2014
Phase: N/A
Study type: Interventional

About 10% of early pregnancies can not be visualized by transvaginal ultrasound (TVU) on first visit and are classified as pregnancy of unknown location (PUL). The etiology includes ongoing intra-uterine pregnancy, failing pregnancy, or ectopic pregnancy. Early diagnosis of ectopic pregnancy is important because it allows conservative treatment. Serum β-hCG, D&C, and laparoscopy are routinely used as diagnostic methods. The purpose of the study is to evaluate if the less invasive office hysteroscopy (HSC) can help diagnose PUL.

NCT ID: NCT02631226 Recruiting - Pregnancy Clinical Trials

Multi-resistant Enterobacteriaceae Colonisation in Less Than 32 Weeks Pregnant Women Admitted to the Hospital.

EME
Start date: February 2016
Phase: N/A
Study type: Observational

The purpose of this study is to determine the prevalence and risk factors for multi-resistant enterobacteriaceae colonization in less than 32 weeks pregnant women admitted to the hospital and its transmission to the newborn, in order to avoid neonatal intensive care unit spread and nosocomial outbreaks.

NCT ID: NCT02619188 Recruiting - Pregnancy Clinical Trials

Nutritional Markers in Normal and Hyperemesis Pregnancies

PUQE-M
Start date: September 2015
Phase: N/A
Study type: Observational

This study evaluate the rate of nausea and nutritional status in patients with hyperemesis gravidarum (severe nausea and vomiting in pregnancy) and healthy pregnant women using a questionnaire (PUQE-score), self-reported food/drink intake form and blood test. The Investigators aim for developing normal range of prealbumin measurements (reference values) during first trimester of pregnancy.

NCT ID: NCT02606227 Recruiting - Pregnancy Clinical Trials

Financial Incentive for Smoking Cessation in Pregnancy

FISCP
Start date: April 2016
Phase: N/A
Study type: Interventional

Maternal smoking during pregnancy (MSDP) increases the risk of adverse pregnancy and birth outcomes and may have long-lasting effects in the offspring.Financial incentives may increase smoking abstinence rate in pregnancy and therefore reduce MSDP related negative health effects. This is a randomized open label study comparing financial incentives for smoking abstinence with no financial incentives for smoking abstinence.Research objectives 1. To test the efficacy of financial incentives on smoking abstinence rate among pregnant smokers; 2. To explore the heterogeneity of efficacy according to individual characteristics: socioeconomic status, social background, smoking characteristics, personality traits, time and risk preferences to determine profiles of women which could benefit best from this kind of intervention; 3. To provide a cost-benefit analysis based on the cost of newborn and children disease due to maternal smoking during pregnancy.

NCT ID: NCT02599610 Recruiting - Pregnancy Clinical Trials

Effects of Digital Vaginal Examination During Labor on Pain and Anxiety Levels

Start date: October 2015
Phase: N/A
Study type: Interventional

Digital vaginal examination is the most common method for assessing progress of labor and delivery. Considering it is the most common intervention women receive during course of labor, evidence for psychological effects of digital vaginal examination on women is surprisingly sparse. Reducing the number of vaginal examination during labor has been proposed by many authors as benefit of more vaginal examination is unclear. However this is unlikely to happen until more research on the topic demonstrates clear detrimental effects of vaginal examination. Our study is aimed at investigating association of vaginal examination with psychological distress of women during labor. Anxiety during labor is associated with longer labor duration, increased perception of pain, problems with newborn attachment, and increased rates of postpartum depression and post-traumatic stress disorder. In this study, women were assigned to either digital vaginal examination or transperineal ultrasound assessment groups were compared to each other in a randomised controlled setting.

NCT ID: NCT02592005 Recruiting - Pregnancy Clinical Trials

Impact of Particulate Matter on Mothers and Babies in Antwerp (IPANEMA)

IPANEMA
Start date: May 2015
Phase: N/A
Study type: Observational

Introduction: An emerging body of evidence indicates that there is an association between air pollution exposure in pregnancy and adverse pregnancy outcomes (Rudra, Williams, Sheppard , Koenig, & Schiff, 2011; Dadvand, et al., 2013; Ritz, et al., 2014). Adverse pregnancy outcomes tend to lead to adverse neonatal outcome and a higher economic cost. Epidemiologic studies have also revealed that cardiovascular complications during pregnancy, such als preeclampsia, are associated with a greater cardiovascular risk during later life ( Abramson & Melvin, 2014). Aim: This study wants to examine the effects of exposure to environmental factors, polluents and particulate matter on the clinical pregnancy outcome for mother and child and to determine which biochemical changes in maternal, placental and cord blood best explain this effect. Methods: This study will be performed in a prospective cohort setup (n=200), recruited from the prenatal clinic in the University Hospital Antwerp. The data collection consists of four questionnaires (intake, both urine samples and postpartum), two blood samples (28 weeks and post-partum), two urine samples (20 and 30 weeks), two hair samples (20 weeks and post-partum), cord blood and the placenta. Results and conclusion: As the study will start in November 2014, no results are available yet.

NCT ID: NCT02575755 Recruiting - Pregnancy Clinical Trials

A Safety, Tolerability, Pharmacokinetic and Efficacy Study of Azithromycin Plus Piperaquine as Presumptive Treatment in Pregnant PNG Women

Start date: October 2012
Phase: Phase 4
Study type: Interventional

Plasmodium falciparum parasitaemia in pregnancy is associated with maternal anaemia, low birth-weight and increased perinatal mortality. Whilst continuous prophylaxis is difficult to implement, intermittent presumptive treatment in pregnancy (IPTp) has proved to be practical and effective. In PNG, pregnant women currently receive IPTp using sulfadoxine-pyrimethamine, however, this therapy has the potential to be compromised by parasite resistance. The aim of the present trial is to assess the safety, tolerability, pharmacokinetics and efficacy of azithromycin (AZI) plus piperaquine (PQ) given as IPTp to pregnant Papua New Guinea women. The study will comprise of two sub-studies: (i) A safety, tolerability and pharmacokinetic study of AZI-PQ in pregnancy. (ii) A safety, tolerability and preliminary efficacy study of AZI-PQ in pregnancy.

NCT ID: NCT02571543 Recruiting - Pregnancy Clinical Trials

Can Ibuprofen Delay Ovulation in Natural Cycle-IVF?

Ibudelay
Start date: January 2016
Phase: Phase 2
Study type: Interventional

During natural cycle in vitro fertilisation, no gonadotropin stimulation is used to stimulate oocyte production. Ovulation is induced with HCG (human chorionic gonadotropin) and the follicle is retrieved 36 hours later. In this study the patient in the intervention group will receive Ibuprofen as a study intervention beginning at the same time as the HCG injection. The treatment dose will either be 400mg every 8 to 12 hours or 800mg every 8 to 12 hours until the follicle retrieval, totalling 5 tablets. Instead of the usual time period of 36 hours, the follicular punction will occur after 42 hours. Should the oocyte still be accessible after this time period, then it is proven that Ibuprofen delays ovulation. In this case the patient will continue the regular NC-IVF treatment cycle. The study design is a admissible two-stage design. During stage 1, 8 cycles in 8 patients will be examined. Should it be the case that after these 8 patients have completed a cycle, 4 or more show a positive treatment effect from the Ibuprofen intake, then the study will continue to stage 2 with 17 more more patients, totalling 25. Should it be the case however, that after 8 patients, 3 or less show an effect of the Ibuprofen intake, then the study will be stopped prematurely for futility. The study intervention will be increased to 800mg of Ibuprofen and the study will recommence with 8 more patients. A control group will consist of women undergoing intrauterine insemination (IUI) or timed sexual intercourse (TSI). 42 hours after Beta-HCG injection, an ultrasound examination will be performed in order to determine the number of remaining follicles in the ovary. This examination is to verify and control the proposed time limit of 42 hours.

NCT ID: NCT02565290 Recruiting - Pregnancy Clinical Trials

Effect of Mother's Supplementation Omega-3 in the Dynamics of Fetal Ductus Arteriosus: a Randomized Clinical Trial.

Start date: May 2015
Phase: N/A
Study type: Interventional

The effect of anti-inflammatory substances on the dynamics of the fetal ductus arteriosus is well documented, but the anti-inflammatory property of polyunsaturated fatty acid omega-3 about changing this dynamic is not established. This study evaluate the relationship between supplementation of omega-3 in the dynamics of the fetal ductus arteriosus in the third trimester. Women with gestational between 28 to 32 weeks will receive capsules of omega-3 or placebo, to be consumed daily for 3 weeks.