are anterior perineum length and partal anal dilatation riskfactors which lead to symptomatic and a- symptomatic sphincter injury?

are anterior perineum length and partal anal dilatation riskfactors which lead to symptomatic and a- symptomatic sphincter injury? - outcome of anal sphincter injury due to vaginal delivery

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON37235

Enrollment

120

Registered

2008-03-14

Start date

2008-03-14

Completion date

Unknown

Last updated

2024-06-18

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

Conditions

anal sphincter rupture

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: primigravida, >18 years, speaking dutch, clinical delivery

Exclusion criteria

Exclusion criteria: sexual abuse, vaginal bleeding in the third trimester, peri anal fistula, intrauterine growth retardation, premature delivery

Design outcomes

Primary

Measure	Time frame
symptomatic and asymptomatic sphincter injury	—

Secondary

Measure	Time frame
perineum anterior length * at the beginning of the second stage: extension beginning * during transection of the head(crowning) - diameter anal gap * at the beginning of the second stage: extension beginning * during transection of the head(crowning - function external anal sphincter * 6 weeks postpartum * 3 months postpartum - anatomy of the IAS and EAS diagnosed by ultrasound examination * 3 months postpartum - race * white * black * Asian * Indian - age of patient - BMI - Medication in pregnancy - Time of amenorroe at confinement - Onset of labor: * spontaneous * induced - duration of cervical effacement and dilatation - duration of second stage of labor(extension) - anal diameter . end of dilatation * duration second stage of labor at transection of the head - episiotomy * length - rupture ( classification according to RCOG, also vaginaly) - presentation * head * breech presentation (spontaneous/ partial extraction) - headposition: * occiput anterior * left occiput transverse * occiput posterior - extraction * vacuum * forceps - childweight - circumference head - way of pushing * effective * paradoxal - shoulderdystocia - anaesthesia * none * pethidene (intramuscular) * marcaine (epidural) * other*. - childbed details - wound healing complicated * uncomplicated - duration of breastfeeding - recovery of cycle after*..weeks	—

Measure

Time frame

perineum anterior length * at the beginning of the second stage: extension beginning * during transection of the head(crowning) - diameter anal gap * at the beginning of the second stage: extension beginning * during transection of the head(crowning - function external anal sphincter * 6 weeks postpartum * 3 months postpartum - anatomy of the IAS and EAS diagnosed by ultrasound examination * 3 months postpartum - race * white * black * Asian * Indian - age of patient - BMI - Medication in pregnancy - Time of amenorroe at confinement - Onset of labor: * spontaneous * induced - duration of cervical effacement and dilatation - duration of second stage of labor(extension) - anal diameter . end of dilatation * duration second stage of labor at transection of the head - episiotomy * length - rupture ( classification according to RCOG, also vaginaly) - presentation * head * breech presentation (spontaneous/ partial extraction) - headposition: * occiput anterior * left occiput transverse * occiput posterior - extraction * vacuum * forceps - childweight - circumference head - way of pushing * effective * paradoxal - shoulderdystocia - anaesthesia * none * pethidene (intramuscular) * marcaine (epidural) * other**. - childbed details - wound healing * complicated * uncomplicated - duration of breastfeeding - recovery of cycle after*..weeks

—

Countries

Netherlands

Outcome results