Comparing the tears of birth canal in women who receive routine planned cut over birth canal during child birth versus who dont receive the planned cut among women who had previous term vaginal child birth

Comparison of perineal tears with routine episiotomy versus no episiotomy among multiparous women with previous term vaginal delivery : A Randomized controlled trial . - NIL

Status

Active, not recruiting

Phases

Phase 1

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/03/064733

Enrollment

364

Registered

2024-03-26

Start date

Unknown

Completion date

Unknown

Last updated

2024-04-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O709- Perineal laceration during delivery, unspecified

Interventions

Intervention1: episiotomy: In this group,patients who are eligible based on inclusion and exclusion criterias will receive routine episiotomy as followed in our healthcare system and will be examined

Eligibility

Inclusion criteria

Inclusion criteria: 1.Pregnant women in active labour with previous one vaginal delivery. 2.Singleton pregnancy 3.Vertex presentation 4.More than 37 weeks 5.Perineum more than 3.5 cm in first stage 6.Estimated Birth weight between 2.5 kg and 3.5kg

Exclusion criteria

Exclusion criteria: 1.Operative vaginal delivery 2.Previous complete perineal tear 3.Shoulder dystocia 4.Severe preeclampsia 5.Uncontrolled diabetes 6.Heart disease 7.Fetal distress in second stage needing to expedite delivery

Design outcomes

Primary

Measure	Time frame
To compare the rates of composite perineal tears among routine and no episiotomy group at time of delivery .composite perineal tears include Vulvovaginal tears /extension of episiotomy,Occurrence of tears in perineum in the no episiotomy group that requires suturing ,Obstetric anal sphincter injuries(OASIs) Timepoint: To compare the rates of composite perineal tears among routine and no episiotomy groups at the time delivery.composite perineal tears include Vulvovaginal tears /extension of episiotomy,Occurrence of tears in perineum in the no episiotomy group that requires suturing ,Obstetric anal sphincter injuries(OASIs).	—

Measure

Time frame

To compare the rates of composite perineal tears among routine and no episiotomy group at time of delivery .composite perineal tears include Vulvovaginal tears /extension of episiotomy,Occurrence of tears in perineum in the no episiotomy group that requires suturing ,Obstetric anal sphincter injuries(OASIs) Timepoint: To compare the rates of composite perineal tears among routine and no episiotomy groups at the time delivery.composite perineal tears include Vulvovaginal tears /extension of episiotomy,Occurrence of tears in perineum in the no episiotomy group that requires suturing ,Obstetric anal sphincter injuries(OASIs).

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Secondary

Measure	Time frame
To evaluate perineal pain on Visual Analogue Score at 24 hours after delivery To evaluate perineal pain & other associated symptoms at 6 weeks after delivery. Timepoint: To evaluate perineal pain on Visual Analogue Score at 24 hours after delivery To evaluate perineal pain & other associated symptoms at 6 weeks after delivery.	—

Countries

India

Contacts

Public ContactDr. Gowri Dorairajan

Jawaharlal Institute of Postgraduate Medical Education and Research

gowridorai@hotmail.com9789895392

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026