Bone Health in Hyperemesis Gravidarum
Study Details
Study Description
Brief Summary
The purpose of the study is to determine whether maternal bone resorption would be seen in Hyperemesis Gravidarum and could be detected in early period using serum vitamin D levels, serum calcium (Ca) levels, serum parathormone (PTH) levels and urine N- telopeptide levels in the patients with Hyperemesis Gravidarum.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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hyperemesis gravidarum hyperemesis gravidarum group consisting of 30 pregnant women between 7-20 weeks of gestation with diagnosed hyperemesis gravidarum. |
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Control group control group consisting of 30 health pregnant women between 7-20 weeks of gestation with excluded hyperemesis gravidarum. |
Outcome Measures
Primary Outcome Measures
- Urine N- telopeptide levels in Pregnant Women with Hyperemesis Gravidarum [4 months]
- Serum Vitamin D Levels in Pregnant Women with Hyperemesis Gravidarum [4 months]
- Serum Calcium Levels in Pregnant Women with Hyperemesis Gravidarum [4 months]
- Serum Parathormone Levels in Pregnant Women with Hyperemesis Gravidarum [4 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Between 7. and 20. weeks of gestation pregnant women in both groups
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İn hyperemesis group; 5% weight loss with regard to pre-gestation vomiting more than 3 times 3-5 % weight loss with ketonuria.
Exclusion Criteria:
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Other pathologies that cause nausea and vomiting in pregnancy gastroenteritis gastroparesis gall duct diseases hepatitis peptic ulcers appendicitis pyelonephritis ovarian torsion urinary tract stones diabetic ketoacidosis hyperthyroidism hyperparathyroidism migraine pseudo tumor cerebra vestibular diseases
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Additionally some situations causing to rise of Ntx levels osteoporosis paget disease bone tumors
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Furthermore some of conditions resulted in pre-menopausal osteoporosis or decreasing in Bone Mineral Density Malignancy Smoking Celiac Disease Depression Inflammatory Bowel Disease Pre-gestational Diabetes Chronic Kidney or Liver Disease Drug Use such as steroids, anticonvulsants, antiepileptic, heparin or low molecular weight heparin
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Kayseri Training and Research Hospital | Kayseri | Turkey | 38000 |
Sponsors and Collaborators
- Kayseri Education and Research Hospital
Investigators
- Study Director: Erdem SAHİN, Kayseri Training and Research Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Bailit JL. Hyperemesis gravidarium: Epidemiologic findings from a large cohort. Am J Obstet Gynecol. 2005 Sep;193(3 Pt 1):811-4.
- Hanson DA, Weis MA, Bollen AM, Maslan SL, Singer FR, Eyre DR. A specific immunoassay for monitoring human bone resorption: quantitation of type I collagen cross-linked N-telopeptides in urine. J Bone Miner Res. 1992 Nov;7(11):1251-8.
- Hlaing TT, Compston JE. Biochemical markers of bone turnover - uses and limitations. Ann Clin Biochem. 2014 Mar;51(Pt 2):189-202. doi: 10.1177/0004563213515190. Epub 2014 Jan 7. Review.
- Minami H, Furuhashi M, Minami K, Miyazaki K, Yoshida K, Ishikawa K. Fetal intraventricular bleeding possibly due to maternal vitamin K deficiency. Fetal Diagn Ther. 2008;24(4):357-60. doi: 10.1159/000163078. Epub 2008 Oct 16.
- Practice Bulletin No. 153: Nausea and Vomiting of Pregnancy. Obstet Gynecol. 2015 Sep;126(3):e12-e24. doi: 10.1097/AOG.0000000000001048. Review.
- Sanz-Salvador L, García-Pérez MÁ, Tarín JJ, Cano A. Bone metabolic changes during pregnancy: a period of vulnerability to osteoporosis and fracture. Eur J Endocrinol. 2015 Feb;172(2):R53-65. doi: 10.1530/EJE-14-0424. Epub 2014 Sep 10. Review.
- Yahia M, Najeh H, Zied H, Khalaf M, Salah AM, Sofienne BM, Laidi B, Hamed J, Hayenne M. Wernicke's encephalopathy: A rare complication of hyperemesis gravidarum. Anaesth Crit Care Pain Med. 2015 Jun;34(3):173-7. doi: 10.1016/j.accpm.2014.09.005. Epub 2015 May 21.
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