Vascular Disease Clinical Trial
Official title:
Manchester Antenatal Vascular Service
25-30% of women with preexisting vascular disease (chronic hypertension/diabetes/obesity)
will develop pre-eclampsia and or growth restriction. In addition, the frequency of
stillbirths in this group is dramatically increased over the general population. Pregnancy
complications in this very heterogeneous group are likely to be a combination of a failure of
the maternal vasculature to adapt to pregnancy and/or a failure of placental development. The
relative contribution of these two mechanisms is poorly understood and current preventative
strategies (aspirin) in this group only prevent a small number of adverse outcomes. This
important and complex group have been inadequately investigated to date mainly because of the
diversity of their underlying disease complicating prospective research studies.
The evolution of tools which allow more detailed assessments of both uteroplacental blood
flow and maternal vascular function will enable us to perform prospective studies in these
women and to develop targeted preventative measures. Recent biomarker studies have also
identified a number of biomarkers which have not yet been assessed in these high risk groups.
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