Clinical trial Recruiting at 1 site Observational Ages 18 to 60 Women only

Using prenatal ultrasound to predict placental condition at birth.

Official title: Prenatal Sonographic Prediction of Placental Histology and Function

Run by Endeavor Health · NCT06022458 · Data updated 2026-11-12

This project will try to use ultrasound images during pregnancy to see if they can predict placental problems at delivery for people with fetal growth restriction or other pregnancy complications.

Quick facts

Study typeObservational
Ages18 Years to 60 Years
SexWomen only
Enrollment320 (estimated)
SponsorEndeavor Health
Academic / other
Locations1 site (Evanston, Illinois)
StatusRecruiting
StartedMay 28, 2024
Main results expectedMarch 2027
Study endsMarch 2027
Registry record updatedJuly 23, 2026
Trial IDNCT06022458 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are pregnant people delivering at NorthShore with available prenatal ultrasound images and placental pathology, and for the prospective arm specifically those with singleton pregnancies and fetal growth restriction at 20–28 weeks or matched normal-growth pregnancies presenting for late-pregnancy ultrasound.

Probably not a fit

People with multiple gestations, major fetal anomalies, chronic hypertension or diabetes (for the unexposed arm), or those who will not deliver at NorthShore or lack suitable ultrasound images are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This two-phase observational project first analyzes archived prenatal ultrasounds and linked placental pathology from past deliveries to develop image-processing markers of placental injury. In the prospective phase, researchers will enroll pregnant people with singleton gestations who have fetal growth restriction at 20–28 weeks and a matched group with normal growth at 36–38 weeks to collect standardized ultrasounds and compare findings to placental histology at delivery. The team will search for ultrasound signatures associated with Amsterdam-classified placental lesions such as maternal or fetal vascular malperfusion and inflammation. The overall aim is to determine whether antepartum ultrasound can identify placental injury patterns that predict adverse outcomes.

Why it matters

Potential benefit: If successful, this could help clinicians detect placental injury before delivery and better target monitoring or interventions to reduce adverse pregnancy outcomes.

How similar studies have gone: Prior research has linked some ultrasound findings to placental problems, but applying automated image-processing to predict detailed placental histology before delivery is relatively new and not widely validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Retrospective Phase

Inclusion criteria:

* Patients with delivery in NorthShore University HealthSystem,
* Ultrasound available within 4 weeks of delivery with adequate placental images
* Placental pathology available

Exclusion criteria:

* Multiple gestation

Prospective Phase Inclusion criteria

* Exposed: Patients with singleton gestation with fetal growth restriction at 20-28 weeks with a plan to deliver at NorthShore Highland Park Hospital Evanston Hospital. Patients must have a first-trimester ultrasound (\<14 weeks) to confirm pregnancy dating available in the electronic medical record.
* Unexposed: Patients who present for routine ultrasound evaluation at 36-38 weeks with normal fetal growth with a plan to deliver at NorthShore Highland Park Hospital or NorthShore Evanston Hospital.

Exclusion criteria:

* Exposed: Multiple gestation, major fetal anomaly
* Unexposed: Multiple gestation, history of chronic hypertension, gestational or pregestational diabetes, major fetal anomaly antiphospholipid syndrome, known thrombophilia

Where it's running

  • NorthShore University HealthSystem
    Evanston, Illinois, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.