NCT05160662

Brief Summary

Obesity is a globally growing public health problem. In 1993, about 25% of women in Sweden were overweight (BMI over 25) or obese (BMI over 30) on the first visit to maternal health care. Twenty years later, in 2013, the corresponding proportion was 38%. Being fat increases the risk of several severe complications during pregnancy and childbirth, such as miscarriage, premature birth, congenital disabilities, intrauterine fetal death, thromboembolism, gestational diabetes, pregnancy-induced hypertension. Purpose of the project: To assess whether the introduction of new guidelines for overweight pregnant women (BMI\>35) affects the outcome of pregnancy and childbirth, such as the frequency of cesarean sections or labor inductions.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
600

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

August 1, 2021

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

November 21, 2021

Completed
25 days until next milestone

First Posted

Study publicly available on registry

December 16, 2021

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2023

Completed
2 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2023

Completed
Last Updated

January 6, 2022

Status Verified

December 1, 2021

Enrollment Period

2 years

First QC Date

November 21, 2021

Last Update Submit

December 16, 2021

Conditions

Keywords

BMI, obesity

Outcome Measures

Primary Outcomes (1)

  • Change in unnecessary interventions

    To assess whether the introduction of new guidelines for the group of overweight pregnant women (BMI\>35) affects outcomes such as the frequency of cesareans sections or induction of labor

    through study completion, an average of 2 years

Study Arms (2)

Women with BMI>=35 (2019-2020)

NO INTERVENTION

Pregnant women with BMI\>=35 delivered at the hospital 2019-2020

Women with BMI>=35 (2021-2023)

EXPERIMENTAL

Pregnant women with BMI\>=35 delivered at the hospital 2021-2023

Procedure: New guidlines

Interventions

New guidlinesPROCEDURE

New guidelines for this group are being developed using NICE guidelines (evidence-based recommendations for health and care in England) as a model and will be tested in clinical practice

Women with BMI>=35 (2021-2023)

Eligibility Criteria

Sexfemale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • : Pregnancy where the woman has a BMI\>=35 when enrolling to prenatale care

You may not qualify if:

  • Pregnant women with BMI\<35

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Eva Wiberg-Itzel

Stockholm, 18239, Sweden

RECRUITING

MeSH Terms

Conditions

OverweightObesity

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Eva wiberg-itzel

    Karolinska Institute Sodersjukhuset Sweden

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Model Details: A prospective cohort study involving all women with a BMI \>35 who give birth at the women's clinic, between 2019-2023. New guidelines for this group are being developed using NICE guidelines (UK) as a model and will be tested in clinical practice The material will be grouped into: Women with BMI\>=35 delivered at the hospital 2019-2020 (control group) Women with BMI\>=35 delivered at the hospital 2021-2023 (where new guidelines have been used)
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate professor

Study Record Dates

First Submitted

November 21, 2021

First Posted

December 16, 2021

Study Start

August 1, 2021

Primary Completion

July 30, 2023

Study Completion

August 1, 2023

Last Updated

January 6, 2022

Record last verified: 2021-12

Data Sharing

IPD Sharing
Will not share

Locations