perineal pain and dyspareunia postpartum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - 18 years-old or older. -Puerperas after instrumental delivery with episiotomy - Puerperas with prolonged expulsion> 3 hours with episiotomy - Puerperas with newborn> 4000 gr with episiotomy In addition, the patient must present perineal pain, at two months of delivery, with an intensity of at least 4 in the EVA scale. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 248 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Births <37 weeks. - Patients with allergies or contraindications to study drugs - Active vaginal infection - Neoplastic malignant processes. - Coagulation disorders due to bleeding risk after puncture. - Allergy to metals - Belonephobia (extreme fear, uncontrollable and irrational towards the needles) - Caesarean section - Knowledge of the Spanish language or inability to grant informed consent - Established pudendal neuropathy. - Type 1 Diabetes Mellitus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to assess the effectiveness at 6 months, defined as perineal pain mesaured in the analog vidual scale EVA, after local application of local anesthetic and corticoids versus the local infiltration of local anesthetic; Secondary Objective: Perineal pain at 2 months. Evaluate the evolution of postpartum dyspareunia at 2 months and at 6 months. Evaluate the influence of the medical and sociocultural variables that influence the response ;Primary end point(s): Score at 6 months in the EVA scale;Timepoint(s) of evaluation of this end point: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Score at 2 months in the EVA scale;Timepoint(s) of evaluation of this end point: 6 months | — |
Countries
Spain
Contacts
Fundación para la Investigacion Biomédica del Hospital Universitario Príncipe de Asturias