Neonatal uterine bleeding as a precursor to adult life endometriosis

ISRCTN ISRCTN60023255
DOI https://doi.org/10.1186/ISRCTN60023255
Secondary identifying numbers N/A
Submission date
03/11/2016
Registration date
02/01/2017
Last edited
29/12/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Neonatal uterine bleeding (NUB) is a condition in which there is a small amount of bleeding or spotting from the vagina of newborn baby girls. It occurs in around 5% of all baby girls and usually happens during the first 2-3 days of life. Endometriosis is a common condition where small pieces of the womb lining (the endometrium) are found in different areas of the body, such as in the ovaries or in the bladder. The cause of endometriosis is still unknown and even after a century of intensive research it is still difficult to diagnose. The aim of this study is to collected routine medical data in order to find out if there is a link between NUB and the development of endometriosis in adulthood and if endometriosis is inherited.

Who can participate?
All female patients seeking advice for an infertility problem at a participating centre.

What does the study involve?
After agreeing to take part, participants complete a number of questionnaires in order to collect information about their health and personal information. The results of these questionnaires are then cross-checked with medical records which are reviewed to find out if there is a link between NUB and endometriosis formation in adulthood, as well as to see if endometriosis is inherited.

What are the possible benefits and risks of participating?
There are no direct benefits or risks involved with participating.

Where is the study run from?
1. St. George’s Med School, Nicosia University and Aretaeio Hospital (Cyprus)
2. LIFE Expert Centre, Service de Gynécologie-Obstétrique CHR de la Citadelle and Ziekenhuis Oost-Limburg a.v. (Belgium)
3. 1st Dept Obstetrics and Gynecology Aristotle University of Thessaloniki (Greece)
4. University of Federico II, S.I.S.Me.R. srl (Italy)
5. IVI Valencia (Spain)
6. Maribor University Hospital (Slovenia)
7. Chinese University of Hong Kong (China)
8. Hôpital NATECIA and Chirurgie Gynécologique (France)
9. University Hospital of Obstetrics and Gynecology Elena Doamna (Romania)
10. Reproductive Clinic of Zurab Sabakhtarashvili (Georgia)
11. Malinov Clinic (Bulgaria)

When is the study starting and how long is it expected to run for?
June 2016 to September 2018

Who is funding the study?
European Academy of Gynaecological Surgery (Cyprus)

Who is the main contact?
Professor Vasilios Tanos
v.tanos@aretaeio.com

Contact information

Prof Vasilios Tanos
Public

Aretaeio Hospital
55-57, Andrea Avraamides
Strovolos
Nicosia
2024
Cyprus

ORCiD logoORCID ID 0000-0002-4695-4630
Phone +357 22 200 629
Email v.tanos@aretaeio.com

Study information

Study designProspective observational cross sectional study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Other
Study typeDiagnostic
Participant information sheet No participant information sheet available
Scientific titleMulticenter study on neonatal uterine bleeding (NUB) as a precursor in adult endometriosis
Study acronymNUB
Study objectivesThe aim of this study is to determine whether there is a relationship between neonatal uterine bleeding during the first days of life and endometriosis/adenomyosis development later in adolescence or adult life.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedNeonatal uterine bleeding (NUB)
InterventionWhen participants attend their appointments in infertility clinic, as part of their routine care, demographic data, reason for the visit (main complaint), past health and drug history as well as family history (questionnaire 2) are recorded. General, gynaecological and ultrasound scan examinations follow. They are then approached by the study team and / or their gynaecologist asking them to participate in the study, explaining that their routine data collected, blood tests, imaging records and if any interventional procedures results will be used for statistical analysis in the study. Once they consent to take part in the study the research team will collect the data by completing the questionnaire. They will be patients at a different stage of their treatment process and the responsibility of the team and / or gynaecologist is to complete the questionnaire along the way of the treatment. The questionnaires will be reviewed once again upon their completion to reassure the correct and complete medical records. Each participant infertility centre will provide 50 -60 patients for the time period of 2 years. The hard copy recorded data will be then send to the European Academy of Gynaecological Surgery - Nicosia Branch, and will be saved in a medical data base. Statistical analysis will follow.
Intervention typeOther
Primary outcome measureImpact of neonatal uterine bleeding in endometriosis formation in adulthood will be measured through medical record review at endline.
Secondary outcome measuresInheritance of endometriosis will be measured by reviewing results of the second questionnaire which examines the pregnancy and labour conditions of the patient’s mother at endline.
Overall study start date10/06/2016
Completion date30/09/2018

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants500
Key inclusion criteriaAll female patients seeking advice for an infertility problem
Key exclusion criteriaNo exclusion criteria
Date of first enrolment01/10/2016
Date of final enrolment30/09/2017

Locations

Countries of recruitment

  • Belgium
  • Bulgaria
  • China
  • Cyprus
  • France
  • Georgia
  • Greece
  • Hong Kong
  • Italy
  • Portugal
  • Romania
  • Slovenia
  • Spain

Study participating centres

St. George’s Med School, Nicosia University and Aretaeio Hospital
55-57 Andrea Avraamides
Strovolos 2024
Nicosia
-
Cyprus
LIFE Expert Centre
Schipvaartstraat 4
Leuven
3000
Belgium
1st Dept Obstetrics and Gynecology Aristotle University of Thessaloniki
Papageorgiou Hospital
Peripheral Road
Thessaloniki
541 24
Greece
University of Federico II
Department of Public Health
Unit of Obstetrics and Gynecology
Via Pansini 5
Naples
80131
Italy
IVI Valencia
Director Department of Surgery
Plaza De La Policia Local 3
Valencia
46015
Spain
Maribor University Hospital
Ljubljanska Ulica 5
Maribor
2000
Slovenia
Chinese University of Hong Kong
Department of Obstetrics and gynecology
First Floor of Block E (Special Block)
Prince of wales Hospital
Shatin
-
China
Service de Gynécologie-Obstétrique CHR de la Citadelle
Présidente du Département de Gynécologie-Obstétrique Université de Liège Belgique
Boulevard du XIIeme de Ligne 1
Liege
4000
Belgium
Hôpital NATECIA
22 Avenue Rockefeller
Lyon
69008
France
University Hospital of Obstetrics and Gynecology Elena Doamna
Department of Obstetrics and Gynecology Iasi- Romania
Elena Doamna street 49
Iasi
700398
Romania
Ziekenhuis Oost-Limburg a.v.
Head Dpt ObGyn
Schiepse Bos 6
Genk
3600
Belgium
S.I.S.Me.R. srl
Via Mazzini, 12
Bologna
40138
Italy
Chirurgie Gynécologique
Pôle FEE CHU Estaing
1 place Lucie Aubrac
Clermont-Ferrand
63003
France
Reproductive Clinic of Zurab Sabakhtarashvili
Tbilisi State University
1 Chavchavadze Avenue
Tbilisi
0179
Georgia
Malinov Clinic
Goce Delchev Blvd 46
Sofia
1680
Bulgaria

Sponsor information

European Academy of Gynaecological Surgery
Hospital/treatment centre

Nicosia Branch
Aretaeio Hospital
55 Andrea Avraamides str. Strovolos
Nicosia
2024
Cyprus

ROR logo "ROR" https://ror.org/00cfkaw62

Funders

Funder type

Hospital/treatment centre

European Academy of Gynaecological Surgery

No information available

Results and Publications

Intention to publish date31/12/2019
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Prof Vasilios Tanos (v.tanos@aretaeio.com) and Prof Stephan Gordts (stephan.gordts@lifeleuven.be or stephan.gordts@lifeexpertcentre.be)