Pregnancy in GUCH Patients

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS

About this trial

This study aims to investigate the impact of congenital heart diseases on maternal and foetal-neonatal health, the effect of pregnancy on maternal cardiac health, and the outcome of newborns/children born from Grown-Up Congenital Heart (GUCH) mothers with follow-up at one year, extendable to two.

The main question it aims to answer is:

-Does maternal congenital heart disease affects outcomes of newborn?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Congenital heart disease in natural history or undergoing corrective and/or palliative cardiothoracic surgery.

Chronological age > 18 years.

Single pregnancy progressing normally at a gestational age of 14 weeks + 0.

Correct pregnancy dating based on CRL as per ISUOG guidelines. (26)

Disqualifiers

Maternal chromosomal abnormalities.

Maternal syndromic conditions.

Spontaneous abortion.

Vanishing Twin.

Trial design

Design model

Single group

Treatments tested in this trial

  • Neurodevelopmental assessment

    Diagnostic test

    Neurodevelopmental assessment

Treatment groups

70 Participants
are divided into 1 treatment group
Group A: Childhood neurodevelopmentExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Neonatal outcomes in terms of weight and appropriate intrauterine development

Observation of neonatal outcome in terms of incidence of foetal growth restriction (FGR), defined as deviation from genetic potential with neonates classified as small for gestational age (SGA) or adequate for gestational age (AGA).

Time frame
Assessment in the first, second and third trimester of pregnancy

Secondary outcomes

1

Physical examination of the mother (BMI)

Physical examination will be evaluated by weight and height combination to report BMI in kg/m\^2

Time frame
Assessment in the first, second and third trimester of pregnancy. Follow-up at 1 and 2 year from childbirth
2

Systolic and diastolic blood pressure of the mother during pregnancy

Systolic an diastolic blood pressure will be evaluated in mmHg

Time frame
Assessment in the first, second and third trimester of pregnancy. Follow-up at 1 and 2 year from childbirth
3

NYHA class progression during pregnancy (NYHA functional class)

NYHA class will be evalueted by medical examination during pregnancy

Time frame
Assessment in the first, second and third trimester of pregnancy. Follow-up at 1 and 2 year from childbirth
4

Cardiologic assessment of the mother (Electrocardiogram):

Cardiologic assesment will be evaluated by the use of Electrocardiogram (PR, QRS, QTc intervals and ST segment changes).

Time frame
Assessment in the first, second and third trimester of pregnancy. Follow-up at 1 and 2 year from childbirth

Other outcomes

Sponsors and contacts

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