Find en give answers on the following questions: If ASR does occur can this be correlated to the seriousness of the maximum partal sphincter dilatation and /or the congenital perineum length?
ID
Source
Brief title
Condition
- Muscle disorders
- Pregnancy, labour, delivery and postpartum conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
symptomatic and asymptomatic sphincter injury
Secondary outcome
perineum anterior length
* at the beginning of the second stage: extension beginning
* during transection of the head(crowning)
- diameter anal gap
* at the beginning of the second stage: extension beginning
* during transection of the head(crowning
- function external anal sphincter
* 6 weeks postpartum
* 3 months postpartum
- anatomy of the IAS and EAS diagnosed by ultrasound examination
* 3 months postpartum
- race
* white
* black
* Asian
* Indian
- age of patient
- BMI
- Medication in pregnancy
- Time of amenorroe at confinement
- Onset of labor:
* spontaneous
* induced
- duration of cervical effacement and dilatation
- duration of second stage of labor(extension)
- anal diameter
. end of dilatation
* duration second stage of labor at transection of the head
- episiotomy
* length
- rupture ( classification according to RCOG, also vaginaly)
- presentation
* head
* breech presentation (spontaneous/ partial extraction)
- headposition:
* occiput anterior
* left occiput transverse
* occiput posterior
- extraction
* vacuum
* forceps
- childweight
- circumference head
- way of pushing
* effective
* paradoxal
- shoulderdystocia
- anaesthesia
* none
* pethidene (intramuscular)
* marcaine (epidural)
* other**.
- childbed details
- wound healing
* complicated
* uncomplicated
- duration of breastfeeding
- recovery of cycle after*..weeks
Background summary
outcome of vaginal delivery on the anatomy and function of the anal sphincters
Study objective
Find en give answers on the following questions:
If ASR does occur can this be correlated to the seriousness of the maximum
partal sphincter dilatation and /or the congenital perineum length?
Study design
prospective cohort
Study burden and risks
The risks associated with participation are minimal.
The burden is minimal too: we try to combine our evaluations and the
interventions pelvic physical therapy with the regular visits to the
gynaecologists
postbus 50.000
7500 KA Enschede
NL
postbus 50.000
7500 KA Enschede
NL
Listed location countries
Age
Inclusion criteria
primigravida, >18 years, speaking dutch, clinical delivery
Exclusion criteria
sexual abuse, vaginal bleeding in the third trimester, peri anal fistula, intrauterine growth retardation, premature delivery
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL17327.044.07 |