Observational Study of Pregnant Women at High Altitude in Bolivia

This observational study is looking at how pregnancy affects women living at high altitudes in Bolivia, compared to women living at sea level. Researchers want to understand how the body, especially the heart and lungs, adapts to high altitude during pregnancy and after birth. They will also investigate how high altitude might affect a baby's growth and if certain body chemicals (nitric oxide metabolites) play a role in pregnancy complications like high blood pressure during pregnancy (Hypertensive Disorder of Pregnancy) or issues with the baby's growth (Intrauterine Growth Restriction). This study does not involve any specific interventions or treatments. They plan to enroll 27 women. The study is currently unclear on its recruitment status.

Study design
This is an observational study with approximately 27 participants. It compares two groups of pregnant women: those living at high altitude and those at sea level.
What's involved
You would have your pulmonary artery pressures and fetal weight estimated during late pregnancy and postpartum. Maternal and neonatal samples will be collected to measure nitric oxide metabolites.
Compensation
Not stated in the trial record.
Follow-up
Measurements will be taken during late pregnancy (around 35 weeks) and postpartum (around 6 weeks after birth).

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NCT07312227

A Prospective Longitudinal Observational Cohort Study of Pregnant Women Residing at High Altitude in Bolivia

Recruiting
Not specifiedAges 18–45Observational
Massachusetts General Hospital
~27 participants
Updated 2026-05-26 on ClinicalTrials.gov

At a glance

Recruiting sites
1 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Pulmonary artery pressures
Measured over Late pregnancy (35 ± 4 weeks gestation) and postpartum (6 ± 0.3 weeks)
+4 more outcomes measured
Hypertensive Disorder of Pregnancy
Pulmonary Arterial Hypertension
Intrauterine Growth Restriction
2 sites across 2 states
Massachusetts1
Bolivia1
  • Lorenzo Berra, MD · PRINCIPAL_INVESTIGATOR · Massachusetts General Hospital

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Eligibility criteria

Inclusion

women delivering at participating hospitals at more than 3500 meters or women delivering at participating hospitals at sea level
signed informed consent

Exclusion

preexisting cardiopulmonary pathologies (CHD, COPD, CKD, NYHA \> III)
  • Pulmonary artery pressuresLate pregnancy (35 ± 4 weeks gestation) and postpartum (6 ± 0.3 weeks)

    Measurement will be performed by transthoracic echocardiography.

  • Echographic estimate of fetal weightLate pregnancy (35 ± 4 weeks gestation)
  • Nitric oxide metabolitesLate pregnancy (35 ± 4 weeks gestation) and postpartum (6 ± 0.3 weeks) for maternal samples, at delivery (neonatal samples)

    Measurement will be performed with a chemiluminescence assay.

  • RV remodeling echocardiography parametersLate pregnancy (35 ± 4 weeks gestation) and postpartum (6 ± 0.3 weeks)
  • Weight at birthAt delivery