Impact on Postpartum Anal Incontinence of an Educational Program for Delivery Room Staff

Impact on Postpartum Anal Incontinence of an Educational Program for Delivery Room Staff on the Diagnosis and Repair of Obstetric Anal Sphincter Injuries

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07336017

Acronym

IIA-LOSA

Enrollment

1000

Registered

2026-01-13

Start date

2025-06-17

Completion date

2026-12-17

Last updated

2026-01-13

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

Conditions

Anal Incontinence

Keywords

Anal Incontinence, Postpartum Anal Incontinence, Obstetric Anal Sphincter Injuries

Brief summary

Obstetric anal sphincter injuries are a source of significant short-term (pain, bleeding, infection, suture dehiscence), medium-term (anorectovaginal fistulas, sexual dysfunction), and long-term (anal incontinence in 30-60% of cases) morbidity. However, they are underdiagnosed and sometimes poorly repaired due to technical difficulties, the use of inappropriate surgical techniques, or a lack of awareness of their significant long-term morbidity. These diagnostic and therapeutic errors, however, significantly worsen the functional prognosis of patients. This study aims to evaluate the clinical impact of an educational program designed for continuing education in the diagnosis and repair of obstetric anal sphincter injuries for staff working in the delivery room.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Adult women (≥18 years old) * who gave birth vaginally at Strasbourg University Hospital in the 3 months prior to and 3 months following the training of delivery room staff at both maternity wards * Singleton pregnancy * Live birth

Exclusion criteria

* Multiple pregnancy * Fetal death in utero * Medical termination of pregnancy * Delivery by cesarean section.

Design outcomes

Primary

Measure	Time frame	Description
St. Mark's score	Up to 18 months	The St Mark's score is a tool for measuring the severity of fecal incontinence: The score is based on several criteria: Solid leakage: 2 points (1-3 times per month) Liquid leakage: 3 points (once a week) Gas: 1 point (less than once a week) Protection: 1 point (occasionally) Daily life: 2 points (moderate discomfort) Ability to control: 1 point The points for each criterion are added together: * Minimum score = 0 → no incontinence. * Maximum score = 24 → very severe incontinence

Countries

France

Contacts

Primary ContactLise LECOINTRE, MD

lise.lecointre@chu-strasbourg.fr33 3 88 12 74 7

Outcome results