Episiotomy
Conditions
Brief summary
The aim of the study is to evaluate the role of routine perineal scan using 2D ultrasound immediatly after delivery to diagnose hidden perineal trauma that might affect patient's fecal continance
Detailed description
In countries where there is high prevalence of doing episiotomy in primiparous women, the incidence of sustained obstetric anal sphincter injuries is increasing. When the tear extend beyond the external anal sphincter its called 'OASIS' that might lead to either immediate of delayed anal incontinence. Anal incontinence is associated with significant medical, hygiene and social problems. Use of perineal ultrasound as a bedside test immediately after vaginal delivery could improve the diagnosis and determining the degree of these perineal traumas. This increased detection could lead to improved primary repair of the external and internal anal sphincter resulting in reduced rates of anal incontinence and improved quality of life for women
Interventions
DEVICEperineal ultrasound
transvaginal probe will be used to scan the perineum immediately after vaginal delivery in primiparous women
PROCEDUREClinical diagnosis
diagnosis of OASIS clinically
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* primiparous women immediately after vaginal delivery
Exclusion criteria
* history of anal incontinence * previous anal sphincteric injuries * previous anal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anal incontinence | 3 months after delivery | patients will be reviewed for anal incontinence 3 months after delivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain score | 3 and 12 month after delivery | visual analogue scale will be used |
| questionnaire for effect on quality of life | 3 and 12 month after delivery | questionnaire will be used to asses how anal incontinence affect the quality of life |
Countries
Egypt
Outcome results
None listed