RPL: Interval to Live Birth and Adverse Perinatal Outcomes
Does a History of Recurrent Pregnancy Loss Predict a Prolonged Interval to the Second Live Birth or Increased Adverse Perinatal Outcomes for Women in British Columbia
1 other identifier
observational
140,000
1 country
1
Brief Summary
This will be a retrospective observational cohort study utilizing the data from the British Columbia Perinatal Data Registry (BCPDR). The BCPDR is a provincially inclusive database that aggregates obstetrics and neonatal variables from all attended births in British Columbia. The primary objective of this study is to evaluate and contrast the average time interval from the first to second birth for patients with recurrent pregnancy loss compared to healthy controls. Secondarily, the investigators will calculate the cumulative live birth rate in the cohort of women with recurrent pregnancy loss who were \</= 35 at age of first birth and delivered between the years 2000-2010. Finally, the investigators will compare the incidence of adverse perinatal outcomes for those with recurrent pregnancy loss and those without. The results of this study will be valuable for clinicians and patients as it will provide information for prognosis counselling. This will also help those desiring more than one child with long term family planning.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2020
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 15, 2020
CompletedFirst Posted
Study publicly available on registry
April 24, 2020
CompletedStudy Start
First participant enrolled
May 13, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedMay 30, 2023
May 1, 2023
3.6 years
April 15, 2020
May 25, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time between first birth and second birth
Time interval in Weeks
Time between first birth and second birth during 2000-2020
Secondary Outcomes (2)
Live birth rate
10 years after first live birth
Obstetrical outcomes
Live births during 2000-2020
Study Arms (4)
Recurrent pregnancy loss
All women with \>/=2 pregnancy loss before 20 weeks gestational age
Primary recurrent pregnancy loss
Primary RPL is defined by those with \>/=2 pregnancy loss before 20 weeks gestational age before the first birth
Secondary recurrent pregnancy loss
Secondary RPL is defined by those with \>/=2 pregnancy loss before 20 weeks gestational age occurring after the first birth
No history of recurrent pregnancy loss
Those with 0 or 1 previous spontaneous pregnancy loss.
Interventions
As described before.
Eligibility Criteria
Those included in a provincially inclusive database that aggregates obstetrics and neonatal variables from all attended births in British Columbia from 2000-2018
You may qualify if:
- \>/= 2 live births
- Livebirths occurring 2000-2020
You may not qualify if:
- Incomplete records
- Women with multiple gestations (at 1st or 2nd births)
- Stillbirths
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
BC Women's Hospital & Health Centre
Vancouver, British Columbia, V6H 3N1, Canada
Related Publications (1)
Cho K, Fayek B, Liu YD, Albert A, Wiesenthal E, Dobrer S, AbdelHafez FF, Lisonkova S, Bedaiwy MA. A history of recurrent pregnancy loss is associated with increased perinatal complications, but not necessarily a longer birth interval: a population study spanning 18 years. Hum Reprod. 2024 May 2;39(5):1105-1116. doi: 10.1093/humrep/deae029.
PMID: 38390658DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mohamed A. Bedaiwy, FACOG, FRCSC
University of British Columbia
Study Design
- Study Type
- observational
- Observational Model
- ECOLOGIC OR COMMUNITY
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr. Mohamed Bedaiwy, Professor in the Division of Reproductive Endocrinology & Infertility
Study Record Dates
First Submitted
April 15, 2020
First Posted
April 24, 2020
Study Start
May 13, 2020
Primary Completion
December 31, 2023
Study Completion
December 31, 2023
Last Updated
May 30, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share