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D007752: Obstetric Labor, Premature

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (3)


Name (Synonyms) Correlation
drug4506 hospitalization for premature birth Wiki 0.58
drug2447 Multimodal intervention strategy Wiki 0.58
drug605 Blood sample Wiki 0.17

Correlated MeSH Terms (3)


Name (Synonyms) Correlation
D047928 Premature Birth NIH 0.52
D050497 Stillbirth NIH 0.41
D001008 Anxiety Disorders NIH 0.08

Correlated HPO Terms (2)


Name (Synonyms) Correlation
HP:0001622 Premature birth HPO 0.52
HP:0003826 Stillbirth HPO 0.41

Clinical Trials

Navigate: Correlations   HPO

There are 3 clinical trials


1 Prematurity Risk Assessment Combined With Clinical Interventions for Improving Neonatal outcoMEs

This prospective, randomized, controlled study evaluates the safety and efficacy of a preterm birth (PTB) prevention strategy versus standard of care pregnancy management to reduce the incidence of adverse pregnancy outcomes.

NCT04301518
Conditions
  1. Preterm Labor
  2. Preterm Birth
Interventions
  1. Other: Multimodal intervention strategy
MeSH:Premature Birth Obstetric Labor, Premature
HPO:Premature birth

Primary Outcomes

Description: Reduction in composite neonatal morbidity and mortality in the PTB Prevention arm versus the Control arm.

Measure: Neonatal morbidity/mortality

Time: Through initial neonate discharge from hospital after birth for all neonates, assessed up to 180 days.

Description: Reduction in length of neonatal hospital stay for admissions from time of birth up to initial neonatal hospital discharge home or neonatal death, whichever occurs first, in the PTB Prevention arm versus the Control arm.

Measure: Length of neonatal hospital stay

Time: Through initial neonate discharge from hospital after birth for all neonates, assessed up to 180 days.

Secondary Outcomes

Description: Reduction in all days spent in the neonatal intensive care unit (NICU) for neonates from time of birth up to discharge home or neonatal death, whichever occurs first, in the PTB Prevention arm versus the Control arm.

Measure: Length of NICU hospital stay for neonates reduction

Time: Through initial neonate discharge from hospital after birth or until neonatal death, whichever occurs first, assessed up to 180 days.

Description: Increase in duration of gestation in the PTB Prevention arm versus the Control arm.

Measure: Increase gestation

Time: Gestational age at delivery

Other Outcomes

Description: Reduction in occurrence of one or more major neonatal morbidities (MNM) with high likelihood of major chronic illness - cystic periventricular leukomalacia, grade 3 and 4 intraventricular hemorrhage, grade 3 or higher retinopathy of prematurity and/or bronchopulmonary dysplasia - in the PTB Prevention arm versus the Control arm.

Measure: Reduction in occurrence of one or more major neonatal morbidities

Time: 3 year infant follow-up

Description: Reduction in all-cause cost of neonatal hospitalizations for all admissions from time of birth up to neonatal discharge in the PTB Prevention arm versus the Control arm.

Measure: Cost reduction of neonatal hospitalizations for all admissions

Time: Birth up to neonatal discharge, assessed up to 180 days

Description: Reduction in all-cause cost of neonatal hospitalizations, for NICU admissions from time of birth up to neonatal discharge in the PTB Prevention arm versus the Control arm.

Measure: Cost reduction of neonatal hospitalizations for NICU admissions

Time: Birth up to neonatal discharge, assessed up to 180 days

Description: Reduction in all-cause cost of neonatal hospitalizations, for PTB admissions from time of birth up to neonatal discharge in the PTB Prevention arm versus the Control arm.

Measure: Cost reduction of neonatal hospitalizations for PTB admissions

Time: Birth up to neonatal discharge, assessed up to 180 days

Description: Reduction in all-cause cost of neonatal hospitalizations from time of birth up to neonatal discharge for admissions of preterm births after spontaneous rupture of membranes or spontaneous onset of labor (sPTB), in the PTB Prevention arm versus the Control arm.

Measure: Cost reduction of neonatal hospitalizations for PTB admissions after sPTB

Time: Birth up to neonatal discharge, assessed up to 180 days

Description: Reduction in the rate of preterm birth <32 weeks of gestation in the PTB Prevention arm versus the Control arm.

Measure: Reduction in rate of preterm birth <32 weeks gestation

Time: Delivery

Description: Reduction in the rate of preterm birth <35 weeks of gestation in the PTB Prevention arm versus the Control arm

Measure: Reduction in rate of preterm birth <35 weeks gestation

Time: Delivery

Description: Reduction in the rate of preterm birth <37 weeks of gestation in the PTB Prevention arm versus the Control arm.

Measure: Reduction in rate of preterm birth <37 weeks gestation

Time: Delivery

Description: Reduction in the rate of preterm birth <32 weeks of gestation after spontaneous rupture of membranes or spontaneous onset of labor (sPTB), in the PTB Prevention arm versus the Control arm.

Measure: Reduction in rate of preterm birth <32 weeks gestation after sPTB

Time: Delivery

Description: Reduction in the rate of preterm birth <35 weeks of gestation after spontaneous rupture of membranes or spontaneous onset of labor (sPTB), in the PTB Prevention arm versus the Control arm.

Measure: Reduction in rate of preterm birth <35 weeks gestation after sPTB

Time: Delivery

Description: Reduction in the rate of preterm birth <37 weeks of gestation after spontaneous rupture of membranes or spontaneous onset of labor (sPTB), in the PTB Prevention arm versus the Control arm.

Measure: Reduction in rate of preterm birth <37 weeks gestation after sPTB

Time: Delivery

Description: Reduction in all days spent in the NICU for all NICU admissions of preterm neonates (<37 weeks, only PTB with NICU admission) from birth up to neonatal discharge to home or neonatal death, whichever occurs first, in the PTB Prevention arm versus the Control arm.

Measure: NICU days reduction/NICU admissions <37 weeks

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, up to 180 days of life

Description: Reduction in all days spent in the NICU for all NICU admissions of spontaneous preterm neonates (only sPTB with NICU admission) from birth up to neonatal discharge to home or neonatal death, whichever occurs first, in the PTB Prevention arm versus the Control arm.

Measure: NICU days reduction/NICU admissions of sPTB neonates with NICU admission

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, up to 180 days of life

Description: Reduction in all days spent in the NICU from birth up to neonatal discharge to home or neonatal death, whichever occurs first, for all preterm neonates (independent of NICU admission including zero-length stays for those not admitted), in the PTB Prevention arm versus the Control arm.

Measure: NICU days reduction/NICU admissions of all preterm neonates

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, up to 180 days of life

Description: Reduction in all days spent in the NICU from birth up to neonatal discharge to home or neonatal death, whichever occurs first, for all sPTB neonates (independent of NICU admission including zero-length stays for those not admitted), in the PTB Prevention arm versus the Control arm.

Measure: NICU days reduction/NICU admissions of sPTB neonates

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, up to 180 days of life

Description: Reduction in length of neonatal hospital stay from birth up to neonatal discharge home or neonatal death, whichever occurs first, for all preterm neonates (<37 weeks, all PTB), in the PTB Prevention arm versus the Control arm.

Measure: Preterm neonatal hospital stay reduction

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, up to 180 days of life

Description: Reduction in length of neonatal hospital stay from birth up to neonatal discharge home or neonatal death, whichever occurs first, for all preterm neonates (<37 weeks, all sPTB), in the PTB Prevention arm versus the Control arm.

Measure: Preterm neonatal hospital stay reduction for sPTB

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, up to 180 days of life

Description: Reduction in days of total hospital and NICU stay after readmission of infants after initial discharge home and within 180 days of life for all admissions, in the PTB Prevention arm versus the Control arm.

Measure: Neonatal hospital and NICU stay reduction after readmission for all admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in days of total hospital and NICU stay after readmission of infants after initial discharge home and within 180 days of life for NICU admissions, in the PTB Prevention arm versus the Control arm.

Measure: Neonatal hospital and NICU stay reduction after readmission for NICU admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in days of total hospital and NICU stay after readmission of infants after initial discharge home and within 180 days of life for PTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Neonatal hospital and NICU stay reduction after readmission for PTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in days of total hospital and NICU stay after readmission of infants after initial discharge home and within 180 days of life for sPTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Neonatal hospital and NICU stay reduction after readmission for sPTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within 180 days of life for all admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction for all admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within 180 days of life for NICU admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction for NICU admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within 180 days of life for PTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction for PTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within 180 days of life for sPTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction for sPTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within 180 days of life for those discharged prior to 180 days of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first year of life for all admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction for all admissions within first year of life

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first year of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first year of life for NICU admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first year of life for NICU admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first year of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first year of life for PTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first year of life for PTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first year of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first year of life for sPTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first year of life for sPTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first year of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first three years of life for all admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first three years of life for all admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first three years of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first three years of life for NICU admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first three years of life for NICU admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first three years of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first three years of life for PTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first three years of life for PTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first three years of life

Description: Reduction in all-cause costs of hospital readmission of infants after initial discharge and within the first three years of life for sPTB admissions, in the PTB Prevention arm versus the Control arm.

Measure: Hospital readmission cost reduction within first three years of life for sPTB admissions

Time: From initial neonatal discharge to home (assessed up to 180 days of life) and within first three years of life

Description: Reduction in NICU admission rates in the immediate neonatal period prior to initial discharge home or neonatal death, whichever occurs first, in the PTB Prevention arm versus Control arm.

Measure: NICU admission rate reduction

Time: Through initial neonatal discharge from hospital after birth or until neonatal death, whichever occurs first, assessed up to 180 days

Description: Observation of the dependence of the composite neonatal morbidity and mortality index co-primary endpoint on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Neonatal morbidity and mortality index observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the length of neonatal hospital stay co-primary endpoint on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Neonatal hospital length of stay observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the NICU length of stay secondary endpoint on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: NICU length of stay observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the duration of gestation secondary endpoint on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Duration of gestation observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the MNM exploratory endpoint on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Major neonatal morbidities observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the exploratory endpoint of dependence of NICU length of stay amongst preterm neonates on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: NICU length of stay amongst preterm neonates observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the exploratory endpoint of dependence of hospital length of stay amongst preterm neonates on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Hospital length of stay amongst preterm neonates observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the preterm birth rate exploratory endpoint on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Preterm birth rate observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the exploratory endpoint of all-cause cost of neonatal hospitalization on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Neonatal hospitalization cost observation

Time: Within one year of primary analysis

Description: Observation of the dependence of the exploratory endpoint of all-cause cost of neonatal hospitalization amongst preterm neonates on severity of risk as defined by PreTRM® categorical test results and continuous risk score, both in comparison of the PTB Prevention arm versus the Control arm and with stratification of both arms by PreTRM® test result.

Measure: Preterm neonatal hospitalization observation

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the co-primary endpoint of composite neonatal morbidity and mortality index.

Measure: Intervention protocol observation/neonatal morbidity and mortality index

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the co-primary endpoint of length of neonatal hospital stay.

Measure: Intervention protocol observation/length of neonatal hospital stay

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the, secondary endpoint of length of NICU stay.

Measure: Intervention protocol observation/length of NICU stay

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the secondary endpoint of duration of gestation.

Measure: Intervention protocol observation/duration of gestation

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the MNM and exploratory endpoint.

Measure: Intervention protocol observation/major neonatal morbidities

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the exploratory endpoint of length of NICU stay amongst preterm neonates.

Measure: Intervention protocol observation/length of NICU stay amongst preterm neonates

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the exploratory endpoint of length of hospital stay amongst preterm neonates.

Measure: Intervention protocol observation/length of hospital stay amongst preterm neonates

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the exploratory endpoint of preterm birth rate.

Measure: Intervention protocol observation/preterm birth rate

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the exploratory endpoint of all-cause cost of neonatal hospitalization.

Measure: Intervention protocol observation/neonatal hospitalization

Time: Within one year of primary analysis

Description: Observation of the contribution of components of the intervention protocol, including consideration of consent and adherence, to the exploratory endpoint of all-cause cost of neonatal hospitalization amongst preterm neonates.

Measure: Intervention protocol observation/neonatal hospitalization amongst preterm neonates

Time: Within one year of primary analysis

Description: Observation of percent of patients with SARS-CoV-2 after enrollment, as measured by a positive FDA-approved diagnostic test or COVID-19 salient symptoms requiring evaluation in an emergency room (ER) or hospital setting, compared across demographic groups

Measure: COVID-19

Time: Within one year of primary analysis
2 COVID-19-associated Anxiety of Pregnant Women for Anomalies, Stillbirth and Preterm Labor - CAASPtrial

Capture of anxiety for anomalies, stillbirth and preterm Labor of pregnant women during COVID-19 pandemia

NCT04568551
Conditions
  1. Anxiety State
MeSH:Obstetric Labor, Premature Stillbirth Anxiety Disorders
HPO:Stillbirth

Primary Outcomes

Description: Measurement of self-reported anxiety by a questionnaire and State-Trait Anxiety Inventory (STAI) and comparison with different empiric studies of anxiety for anomalies in pandemics

Measure: anxiety for anomalies during COVID-19-pandemic and before (percentage difference in agreement to the items of the questionnaire)

Time: 6 months

Description: Measurement of self-reported anxiety by a questionnaire and State-Trait Anxiety Inventory (STAI) and comparison with different empiric studies of anxiety for stillbirths in pandemics

Measure: anxiety for stillbirths during COVID-19-pandemic and before (percentage difference in agreement to the items of the questionnaire)

Time: 6 months

Description: Measurement of self-reported anxiety by a questionnaire and State-Trait Anxiety Inventory (STAI) and comparison with different empiric studies of anxiety for preterm labour in pandemics

Measure: anxiety for preterm labour during COVID-19-pandemic and before (percentage difference in agreement to the items of the questionnaire)

Time: 6 months
3 The Impact of the SARS CoV-2 Lockdown Policy on Spontaneous Premature Birth at the Regional University Maternity Hospital of Nancy

Preterm labor (PL) is the leading cause of hospitalization during pregnancy and premature birth the leading cause of fetal morbidity and mortality in France. PL is defined by regular and painful uterine contractions associated with a change in the cervix, between 22 and 36 weeks of gestation. It has been shown that the risk of spontaneous prematurity increases particularly in case of working over 40 hours per week, hard physically conditions, or prolonged daily transport time. Rest is one of the most efficient measure to prevent PL and should be proposed to all pregnant women, and combined with other therapies such as tocolysis or cerclage when needed. The very particular period of lockdown during the COVID-19 pandemic had pregnant women to drastically reduce their activity. They suspended their work and stayed home for various reasons such as pregnancy in progress, children at home, and also collective reasons such as teleworking or workplace closure. During the lockdown period from March 17th to May 11th 2020, fewer preterm labor and less spontaneous prematurity have been suspected by the neonatology and obstetrics teams throughout the Lorraine region. Our study aims to objectively confirm this observation. In this investigation we aim to find a relationship between lockdown, PL and spontaneous prematurity which would need to re-evaluate public health recommendations for pregnant women outside the lockdown.

NCT04605172
Conditions
  1. Premature Birth
  2. Preterm Labor
Interventions
  1. Other: hospitalization for premature birth
MeSH:Premature Birth Obstetric Labor, Premature
HPO:Premature birth

Primary Outcomes

Description: Number of prematurely born infants

Measure: Evaluate the impact of confinement on the rate of spontaneous prematurity at the Regional University Maternity Hospital of Nancy (MRUN)

Time: baseline

Secondary Outcomes

Description: Number of infants born by vaginal delivery or cesarean section

Measure: Evaluate the impact of confinement on the type of prematurity rate: spontaneous or not

Time: baseline

Description: Number of infants transferred from referring hospitals to the level III NICU for prematurity

Measure: Evaluate the impact of confinement on the outborn rate managed by the Regional Neonatal transport team for prematurity

Time: baseline

Description: Diagnosis evaluation of prematurely born infants during lockdown period

Measure: Evaluate the type of prematurity over the period of confinement

Time: baseline

HPO Nodes


HPO

Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


HPO Nodes


Reports

Data processed on September 26, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

Drug Reports   MeSH Reports   HPO Reports  

Interventions

4,180 reports on interventions/drugs

MeSH

691 reports on MeSH terms

HPO

263 reports on HPO terms

All Terms

Alphabetical index of all Terms

Google Colab

Python example via Google Colab Notebook