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Clinical Trial to evalute the Efficacy and Safety of Hyaluronidase for Vaginal Delivery in Nulliparous Women

Efficacy and Safety of Hyaluronidase for Preventing Perineal Trauma during Vaginal Delivery in Nulliparous Women: A Randomized, Double-blind, Placebo-controlled Clinical Trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CRIS
Registry ID
KCT0002855
Enrollment
145
Registered
2018-05-09
Start date
2016-01-08
Completion date
Unknown
Last updated
2019-03-11

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

Conditions

None listed

Interventions

Drug : Nulliparous women planning for a vaginal delivery were recruited as subjects, and the enrolled participants were randomly assigned to the study group (HAase injection, 5,000 IU, n=74) or to the
lidocaine chlorohydrate solution. Both the active drug and placebo were injected at the perineal subcutaneous tissue in the center of the perineum and in each side (left and right) within 1 hour befor

Sponsors

Soon Chun Hyang University Hospital Seoul
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Maternal age between 19 and 40 years old 2. Gestational age between 37 weeks 0 days and 41 weeks 6 days, nulliparous with no previous record of vaginal birth 3. Have never undergone surgery for the indication of cesarean section on the uterus and perineum 4. Singleton pregnancy 5. Do not have indications for emergency cesarean section during labor 6. Never been exposed to hepatitis during pregnancy (German measles, Chickenpox, hepatitis C, Syphilis, HIV) 7. Do not have uterine anomalies during antenatal consultation 8. Voluntary written consent to participate in the Clinical trial

Exclusion criteria

Exclusion criteria: 1. Multifetal gestations 2. Fetal congenital anomaly 3. Estimated birth weight over 4000 g 4. Diagnosed with gestational diabetes or gestational hypertension (pregnancy addiction) at antenatal consultation 5. Pregnant woman with family history of genetic disease 6. Alleged maternal underlying disease such as severe diabetes, hypertension, heart disease (congenital heart defects and venous congestion), epilepsy, kidney disease, autoimmune disease, active genital herpes infection, etc. 7. Breast cancer, uterine cancer, or genital malignancy, or suspected to have a previous history of malignancy within 5 years. 8. A serum protein level of less than 5.5 g / dl 9. Abnormal placental implantation 10. Hypersensitive conditions to hyaluronidase or bovine protein 11. RH (-) blood type pregnancy 12. the other tester judges that it is inappropriate for participation in the examination

Design outcomes

Primary

MeasureTime frame
Perineal edema and severe perineal trauma (higher than second-degree laceration or episiotomy)

Secondary

MeasureTime frame
Rate of performing episiotomy;Adverse event;Frequency of perineal laceration by category;Degree of local edema;Vital sign;Lab test

Countries

Korea, Republic of

Contacts

Public ContactGyuyeon Choi

Soon Chun Hyang University Hospital Seoul

kychoi097@gmail.com+82-2-709-9324

Outcome results

None listed

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