An observational study in Perineal Tear and Obstetric Trauma, sponsored by Ostergotland County Council, Sweden. Completed. Open to female participants. Per ClinicalTrials.gov, last updated 2017-02-13.
Sponsored by Ostergotland County Council, Sweden · Observational
Anovaginal distance measured by palpation and perineal ultrasound are similar.
Background: Objective diagnostic methods for obstetric anal sphincter rupture, (OASR) such as endoanalt ultrasound (EAUS), show missed ruptures that can lead to anal incontinence. To perform EAUS after all deliveries at all hours, although it may lead to diagnostic improvement is not feasible in most delivery wards. Another objective method for screening women after delivery to identify OASR would be of value. Bidigital palpation of the perineum is often suggested without specifying what results are relevant.
AIM:
The aim of this study was to establish if the palpated anovaginal distance after delivery could be confirmed by perineal ultrasound and correlated to the extent of the perineal tear.
MATERIALS AND METHODS:
A structured educational programme for midwives (palpation) and doctors (perineal ultrasound) was accomplished. Midwives were instructed to record the palpated anovaginal distance in primiparae with spontaneous vaginal delivery and no episiotomy. If the AVD was found to be shorter than 2 cm, she recorded a primary diagnosis of probable grade 2, suspected grade 3 or probable grade 3 and called the doctor. The AVD was then measured by perineal ultrasound by a doctor aware of a laceration but not it´s extent, which was then established by clinical exam and perineal ultrasound.
557 studies on the registry are indexed under Rupture; 97 are open to participants now.
This study's enrollment of 151 is above the median of 100 across 203 observational studies indexed under Rupture.
Browse Rupture studies →Ostergotland County Council, Sweden is the lead sponsor of 17 studies on the registry; 4 are open to participants now.
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Women just after vaginal delivery
Inclusion Criteria: women who just had their firstborn child through vaginal delivery at the delivery ward at the University Hospital in Linköping, Sweden from October 2014 to January 2016.
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Exclusion Criteria: inability to understand swedish
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Perineal laceration Probable grad 2
Diagnostic Test: Bidigital palpation · Diagnostic Test: Perineal ultrasound
Perineal laceration Suspected grade 3
Diagnostic Test: Bidigital palpation · Diagnostic Test: Perineal ultrasound
Perineal laceration Probable grad 3
Diagnostic Test: Bidigital palpation · Diagnostic Test: Perineal ultrasound
palpation of the anovaginal distance with two fingers
ultrasound measurement of the anovaginal distance
Also known as: Vaginal ultrasound, transperineal ultrasound
Correlation between palpated and ultrasound- measured anovaginal distance
Does palpation give a reliable result?
Time frame: immediate
Anal Sphincter rupture incidence
How common is anal sphincter rupture
Time frame: immediate
No study locations are listed for this record.
Plan to share: No
This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.
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Ostergotland County Council, Sweden