Clinical Trials Directory

Trials / Completed

CompletedNCT03413917

Exploration and Determination of Genomic Markers Predictive of Uterine Atony

Status
Completed
Phase
Study type
Observational
Enrollment
21 (actual)
Sponsor
Baylor Research Institute · Academic / Other
Sex
Female
Age
18 Years
Healthy volunteers
Accepted

Summary

The primary objective of this study is to determine whether there are markers in the tissue of atonic uteri, and in the patients' plasma that would help identify patients likely to suffer postpartum hemorrhage due to uterine atony. We also will attempt to identify the cause(s) of uterine atony that might suggest mechanisms to prevent and manage it.

Detailed description

Patient will be recruited from those admitted to our Labor and Delivery unit. Ten women will be the control subjects, and these will be selected from patients who are admitted for scheduled cesarean delivery. Ten women will be selected from women who develop uterine atony either following cesarean delivery, or postpartum patients who delivered vaginally but subsequently required surgical management of uterine atony (hysterectomy or uterine saving surgery). From each patient a small amount of uterine muscle will be excised and placed in a fixative, preservative transport medium. Ten cubic centimeters of blood will be drawn from each patient to accompany the tissue. The tissue and blood will be processed and analyzed to identify differences in the tissue and plasma of messenger RNA, micro RNA, long non-coding RNA, and DNA methylation in normal and atonic uterine patients. Statistical analysis of these markers will be performed to determine whether there are significant differences in their expression. It is hoped that differences will be discovered that may be used diagnostically to predict uterine atony, and differences that may suggest the etiology of uterine atony.

Conditions

Interventions

TypeNameDescription
OTHERAnalysis of genomic markers in uterine atonyNo intervention will be performed. We will be analyzing tissue and blood samples only to identify potential association of genomic markers with uterine atony.

Timeline

Start date
2018-02-02
Primary completion
2020-07-01
Completion
2020-07-01
First posted
2018-01-29
Last updated
2026-01-26

Locations

1 site across 1 country: United States

Source: ClinicalTrials.gov record NCT03413917. Inclusion in this directory is not an endorsement.