Association of Periodontitis and Preeclampsia During Pregnancy
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Purpose
Infections affecting the mother during pregnancy may produce alterations in the normal cytokine and hormone-regulated gestation, which could result in preeclampsia, preterm labor, premature rupture of membranes, and preterm birth. Therefore, pregnant women with periodontal disease may show an alteration in the cytokine levels which may cause preeclampsia in them.
| Condition |
|---|
|
Preeclampsia Periodontal Disease |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Role of Cytokines in Association Between Periodontitis and Preeclampsia During Pregnancy |
- Association between preeclampsia and periodontal disease and its correlation with the variation in cytokine levels. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- Correlation of relationship of periodontal disease with preeclampsia and pregnancy outcome. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 550 |
| Study Start Date: | February 2009 |
| Estimated Study Completion Date: | January 2012 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Subjects
All the consecutive primigravidae who register in the antenatal clinic before 20 weeks of gestation
|
Detailed Description:
The enrolled subjects will be evaluated on the basis of a pre-designed and pre-tested proforma with respect to history and clinical examination, obstetrics examination and ultrasonography. The periodontal examination consists of assessments at vestibular, lingual, mesial and distal sites of all present teeth.Five ml venous blood sample will be drawn from the patient at the time of enrollment before 20 weeks of gestation for the levels of cytokines (IL-4, IL-10, IFN-g and TNF-α. All the subjects will be followed- up till delivery. At the time of delivery, the details of pregnancy outcome (maternal and fetal) along with the measurement of the blood pressure will be recorded. A repeat of oral health evaluation will be done within 48 hours of delivery.
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
primigravidae women with 14-20 weeks of gestation.
Inclusion Criteria:
- Singleton live pregnancy.
- Sure of her dates. (known dates of the last menstrual period)
- Age group 18-35 years.
Exclusion Criteria:
- Chronic hypertension
- Polyhydramnios
- Congenital malformation in fetus
- Diabetes
- Renal disease
- Cardiovascular disease
- Urolithiasis
- Parathyroid disease
- Systolic blood pressure measurement of more than 140mm Hg and diastolic blood pressure more than 90 mm Hg at first visit.
- Infections (bacterial vaginosis and chorioamnionitis)
- Antibiotic use during pregnancy
- Excessive body mass index
- Less than 20 natural teeth
Contacts and Locations| Contact: Ashok Kumar, MD | 91-11-23232400 ext 4400 | ash64kr@yahoo.com |
| India | |
| Maulana Azad Medical College and Lok Nayak Hospital and Maulana Azad Institute of Dental Sciences | Recruiting |
| New Delhi, Delhi, India, 110002 | |
| Contact: Ashok Kumar, MD 91-11-23232400 ext 4400 ash64kr@yahoo.com | |
| Principal Investigator: Ashok Kumar, MD | |
| Principal Investigator: | Ashok Kumar, MD | Department of Obstetrics and Gynecology, Maulana Azad Medical College, New Delhi, India |
More Information
Publications:
| Responsible Party: | Professor Ashok Kumar, Department of Obstetrics and Gynecology, Maulana Azad Medical College |
| ClinicalTrials.gov Identifier: | NCT00855504 History of Changes |
| Other Study ID Numbers: | 34-499/2008(SR) |
| Study First Received: | March 2, 2009 |
| Last Updated: | July 20, 2011 |
| Health Authority: | India: Institutional Review Board |
Keywords provided by Maulana Azad Medical College:
|
preeclampsia periodontitis cytokines |
Additional relevant MeSH terms:
|
Periodontal Diseases Periodontitis Pre-Eclampsia Mouth Diseases |
Stomatognathic Diseases Hypertension, Pregnancy-Induced Pregnancy Complications |
ClinicalTrials.gov processed this record on June 18, 2013