Chlamydia Tracomatis and Other Lower Genital Tract Infections Among Women With Unexplained Early...
Early PregnancyAlthough one fourth of pregnant women experience at least 1 abortion, yet only 50% of causes are identified. Pregnancy loss can result from viral, bacterial, and other infections. It can reach the fetoplacental units through blood born or local spread. Lower genital tract infections- a potentially preventable infections- was suggested as a cause of spontaneous miscarriage. It was reported in 15 and 66% of early and late miscarriages respectively. These infections are also commonly encountered among apparently healthy looking pregnant women with an overall prevalence of 40-54%. If left untreated it can lead to premature rupture of the membranes, preterm birth, low birth weight, Fetal loss, neonatal ophthalmic and pulmonary damage.
Study of DDT and Loss of Clinically-Recognized Pregnancies in South Africa
Spontaneous AbortionMalaria3 moreBackground: In some countries, such as South Africa, the pesticide DDT is an important chemical for control of malaria-carrying mosquitoes. However, there is little evidence about the effects that it might have on human health. DDT has been associated with miscarriage and fetal loss in areas with high levels of exposure, but more research is needed to determine what levels of exposure are associated with loss of pregnancies. Objectives: To examine the relationship between pre-pregnancy levels of DDT in the blood and the loss of clinically recognized pregnancies. To conduct a pilot study to evaluate data collection procedures for future research. Eligibility: Women between 20 and 30 years of age who are not currently pregnant and who reside in villages in the Vhembe District in the northeastern part of South Africa. Design: Evaluation of eligibility: Short physical examination, with questionnaire about medical history, current living conditions, and daily life. Several blood samples will be taken for study and to test for anemia, elevated lead levels, malaria, syphilis, and human immunodeficiency virus (HIV). Half of the women will come from villages that are currently being sprayed with DDT, and half will come from villages that are not being sprayed. Evaluation before and during pregnancy for subjects who become pregnant: Blood and urine test, including urine pregnancy test. Questions about recent menstrual history and sexual activity. Questions about medical history, including treatment for malaria. Pregnancy follow-up study, including blood draws, will be conducted regardless of whether the pregnancy is carried to term. Researchers will assess and adjust study parameters as needed.
Distinct Alterations in Gut Microbiota Composition Among Women of Reproductive Age With Elevated...
Recurrent MiscarriageThe goal of this observational study is to test the alterations of gut microbiota composition among women of reproductive age with elevated homocysteine levels. The main question it aims to answer is: • the relationship between gut microbiota composition and recurrent abortion. Participants will provide their stool samples to be detected the composition of gut microbiota. . Researchers will compare women of reproductive age with normal homocysteine levels to see if any bacteria were involved in recurrent miscarriages.
Difference Between Mean Gestational Sac Diameter and Crown-rump Length as a Marker of First-trimester...
Recurrent Spontaneous AbortionObjective: To determine the effect and predictive value of the difference between the mean gestational diameter (mGSD) sac and crown-rump length (CRL) of the first trimester on the pregnancy outcomes of patients with recurrent spontaneous abortion (RSA).Methods: This is a retrospective cohort study. In total, 256 pregnant women at 6-10 weeks of gestation and with RSA who visited our hospital from January 2020 to March 2023 were included in the study. They were divided into the following three groups based on the difference between the mGSD and CRL (mGSD-CRL): Group A: mGSD-CRL ≥ 10mm, 41 cases; Group B: 10mm < mGSD-CRL ≤ 15mm, 109 cases; and Group C: mGSD-CRL > 15mm, 106 cases.
Evaluation of Endoplasmic Reticulum Stress in Patients With Recurrent Pregnancy Loss
Recurrent Pregnancy LossEndoplasmic Reticulum StressTo evaluate endoplasmic reticulum stress in women with recurrent pregnancy loss and those who had healthy births in the same age group. The level of the unfolded protein X box binding protein 1 (XBP-1) is measured. It is aimed to show the effect of endoplasmic reticulum stress on recurrent pregnancy loss.
Application of Lactobacillus Salivarius CECT5713 in Infertility of Unknown Origin
AbortionSpontaneous2 moreIn this study, we aimed to assess the cervicovaginal environment (pH, Nugent score, soluble immune factors and bacterial profile) in women with reproductive failure because of either repetitive abortion or infertility of unknown origin and compare it to that of healthy fertile women. The second objective was to evaluate the ability of Lactobacillus salivarius CECT5713 to modulate such parameters and to increase pregnancy rates in women with reproductive failure. The administration of L. salivarius CECT5713 (~9 log10 colony-forming units (CFU)/day) for 6 months or until a diagnosis of pregnancy to women with reproductive failure resulted in an overall successful (term) pregnancy rate of 56%.
Pregnancy Dating Test - The Fall of hPL in Urine Over Time
AbortionComplete1 moreEarlier studies describe the half-life of hPL in serum as being ninety minutes and that the hormone is excreted unchanged in urine; consequently, there is real potential to use the fall in hormone levels in urine to monitor bleeding in pregnancy, the outcome of natural and artificial abortions or placental health. This study will focus on the fall of hPL following delivery by Caesarean section when women have a urinary catheter in place and sampling urine is simple to achieve.
Thyroid Hormone Values and Anti-thyroid Peroxidase Antibody Positivity in Recurrent Pregnancy Loss...
Autoimmune ThyroiditisRecurrent MiscarriageThe aim of this study is to compare the thyroid hormone values and anti-thyroid peroxidase (anti-TPO) levels of women with a diagnosis of recurrent pregnancy loss (RPL) and healthy pregnancies. The primary objective is to find out the relationship between recurrent pregnancy loss with thyroid hormone levels and anti-TPO positivity.
B-vitamin Levels and Adverse Pregnancy Outcomes
Birth DefectPregnancy Loss7 moreThis prospective nested case-control study aims to examine the effects of blood vitamin B levels in first-trimester pregnant women on the pregnancy outcomes
Non-interventional Study of Therapy for Threatened Miscarriage
Threatened MiscarriageStudy the efficacy and safety of therapy for threatened miscarriage with medicinal products Utrogestan (micronized progesterone), 200 mg capsules (Besins Healthcare SA, Belgium), and Duphaston (Dydrogesterone), 10 mg coated tablets (Abbott Healthcare Products B.V., the Netherlands)