Perineal Tear Resulting From Childbirth, Vaginal Delivery
Conditions
Keywords
1st stage of labor, 2nd stage of labor, Perineal tear, Viennese manual perineal protection (VMPP), Finnish manual perineal protection (FMPP)
Brief summary
The goal of this clinical trial is to find out which method of protecting the perineum during childbirth works better in reducing tears in first-time mothers. The study will compare two commonly used techniques-Finnish and Viennese manual perineal protection-during the second stage of labor. It will also assess whether these techniques are safe and practical to use. The main questions it aims to answer are: 1. Does the Finnish technique reduce the number of perineal tears compared to the Viennese technique? 2. Are there any differences in labor outcomes or complications between the two techniques? Researchers will randomly assign 60 pregnant women (first-time mothers with full-term, single pregnancies) into two groups. One group will receive the Finnish technique, while the other group will receive the Viennese technique during the second stage of labor. Participants will: * Be enrolled when they are in active labor and planning a normal vaginal delivery * Be randomly assigned to one of the two perineal protection techniques * Have their labor monitored, including the duration of different stages of labor * Undergo a clinical examination after delivery to check for any perineal tears A trained obstetrician who is not aware of which technique was used will examine the mother after delivery to ensure unbiased assessment. Any tears identified will be treated according to standard hospital guidelines. By comparing these two techniques, this study aims to identify the safer and more effective method to reduce perineal injury during childbirth, which may help improve maternal outcomes and quality of care.
Interventions
PROCEDUREFinnish Manual Perineal Protection Technique
This involves applying pressure with the flexed middle, ring, and little fingers to support the perineum and control delivery of the fetal head. This would reduce perineal stretching and tearing during delivery.
PROCEDUREViennese Manual Perineal Protection
This technique includes applying ventral pressure with the ulnar part of the palm while supporting the perineum and controlling fetal head extension at crowning.
Sponsors
Nishtar Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Full-term (37 - 42 weeks, assessed through LMP) * Singleton pregnancy (assessed on antenatal scan) * Primigravida * In active labor
Exclusion criteria
* Fetal presentation other than cephalic (confirmed on USG) * Patients converted to cesarean delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perineal Tear | Immediately after delivery (within the third stage of labor) | Perineal tear will be assessed by clinical examination after delivery. It is defined as any laceration involving the perineal skin, vaginal mucosa, perineal muscles, anal sphincter, or rectal mucosa. The presence or absence of a tear will be recorded. |
Countries
Pakistan
Contacts
STUDY_CHAIRSyeda A Professor, FCPS
Nishtar Medical University
Outcome results
None listed