Dehisced perineal wounds Pregnancy and Childbirth Perineal laceration during delivery
Conditions
Interventions
The participants will be computer randomised into either immediate resuturing of their dehisced perineal wound in comparison to healing by secondary intention. Both groups will have an independent ass
Sponsors
University Hospital of North Staffordshire NHS Trust (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Women (aged 18 - 40 years) referred to the perineal care clinic at the University Hospital of North Staffordshire 2. Dehisced perineal wound (spontaneous second, third or fourth tear or episiotomy) 3. Occurs within two weeks following childbirth
Exclusion criteria
Exclusion criteria: 1. Women that have not given their written consent to participate in the study 2. Women who have delivered a stillborn infant 3. Women under the age of 16 years 4. Women who cannot speak English or cannot read or write
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time taken for the dehisced perineal wound to heal, assessed at 2 weeks, 6 weeks, 3 months and 6 months, respectively. An independent assessment of the primary outcome will be conducted at 2 weeks and 6 weeks using a questionnaire format, the title of the questionnaire being: 'PREVIEW' Independent Perineal Assessment 2 weeks, and 'PREVIEW' Independent Assessment 6 weeks Mothers will also complete questionnaires at 6 weeks, 3 months and 6 months, respectively, also assessing primary and secondary outcomes, the title of these questionnaires being: 'PREVIEW' Mothers questionnaire 6 weeks 'PREVIEW' Mothers questionnaire 3 months 'PREVIEW' Mothers questionnaire 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Woman's satisfaction with aesthetic results of perineal wound at 6 months post-natal 2. Pain at 6 weeks, 3 and 6 months post-natal 3. Dyspareunia (painful intercourse) at 3 - 6 months 4. Rates of breastfeeding Mothers will complete questionnaires at 6 weeks, 3 months and 6 months respectively, assessing primary and secondary outcomes, the title of these questionnaires being: 'PREVIEW' Mothers questionnaire 6 weeks 'PREVIEW' Mothers questionnaire 3 months 'PREVIEW' Mothers questionnaire 6 months | — |
Countries
United Kingdom
Outcome results
None listed