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RecruitingNCT04719533Updated Oct 21, 2021

Outcomes Following Pre-marking of Episiotomy Location

An interventional study of Pre-marking of episiotomy location in Episiotomy; Complications, Episiotomy Extended by Laceration and Episiotomy Infection, sponsored by Sharon Davidesko MD. Recruiting at 1 site in Israel. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-21.

Sponsored by Sharon Davidesko MD · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as recruiting.
  • Started May 2021; still recruiting 5 years 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

To compare short- and long-term outcomes of women following episiotomy during the second stage of labor, following marking of episiotomy location during the first stage of labor with those of women who underwent episiotomy without marking.

Read the detailed description

Purpose: To compare short- and long-term outcomes of women following episiotomy during the second stage of labor, following marking of episiotomy location during the first stage of labor with those of women who underwent episiotomy without marking.

Hypothesis: Women following episiotomy following pre-marking of the location will suffer from fewer short- and long-term complications compared to those without pre-marked episiotomy location.

Study type: prospective randomized-controlled trial

02

Conditions studied

  • Episiotomy; Complications
  • Episiotomy Extended by Laceration
  • Episiotomy Infection

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Keywords

  • episiotomy
  • episiotomy complications
  • premarked episiotomy
03

In context

Lacerations

174 studies on the registry are indexed under Lacerations; 43 are open to participants now.

This study's planned enrollment of 500 is above the median of 65 across 128 interventional studies indexed under Lacerations.

Browse Lacerations studies →

Lead sponsor

This is the only study on the registry with Sharon Davidesko MD as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • women 18 years of age or older who present in active labour to our center and consent to participate in the study

Exclusion criteria

Exclusion Criteria:

  • women under 18 years of age or those who do not or are unable to provide to participate in the study
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Pre-marked episiotomy location

    Women in this group will undergo pre-marking of episiotomy location

    Other: Pre-marking of episiotomy location

  • No intervention
    No pre-marked episiotomy location

    Women in this group will not undergo pre-marking of episiotomy location

Interventions

  • OtherPre-marking of episiotomy location

    A template marking the pre-determined correct location of episiotomy will be used to mark to women in the interventional group

06

What researchers measure

Primary outcomes

  1. Extended laceration of the episiotomy

    Additional perineal tears originating from the original episiotomy, as described in the birth chart

    Time frame: Up to 1 hour following the episiotomy

  2. Third- and fourth-degree perineal tears

    Perineal tears involving the anal sphincter in addition to the episiotomy, as documented in hospital records

    Time frame: Up to 2 hours following the episiotomy

  3. Post-partum hemorrhage

    Early (\<24 hours) or later (24 hours to 6 weeks) hemorrhage following delivery requiring physician intervention as documented in medical records

    Time frame: Up to 6 weeks following delivery

  4. Blood transfusion requirement

    Any requirement for blood products following delivery as documented in the hospital discharge

    Time frame: Up to 5 days following delivery

  5. Episiotomy site infection

    any documented infection of the episiotomy site treated in ambulatory or hospital setting, as recorded in medical records

    Time frame: Up to 6 weeks following delivery

  6. Requirement of resuturing of episiotomy or evacuation of hematoma

    Any additional surgical intervention required relating to the episiotomy, as recorded in medical records

    Time frame: up to 6 weeks following delivery

  7. Long-term symptoms related to episiotomy

    Any symptoms including perineal pain, dyspareunia, urine incontinence or fecal incontinence as reported by women using a numerical scale or dichotomic scale where appropriate

    Time frame: Up to 5 years following delivery

  8. Perineal tears in subsequent deliveries

    As recorded in hospital records

    Time frame: Up to 5 years following delivery

  9. Surgical correction of episiotomy

    Any additional surgical procedures required for correction of episiotomy related symptoms as recorded in medical records

    Time frame: Up to 5 years following delivery

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — No data is to be shared with other researchers

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2021 (actual). Primary completion is estimated for Sep 2025, 52 months after the start.

Of 46 non-industry interventional studies with no phase under Lacerations, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 72. This study's planned 52 months is above that.

Counting every sponsor, half of 50 studies reached it within 19 months; a quarter within 12 and three quarters within 72.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 2, 2020
First posted
Jan 22, 2021
StartActual
May 17, 2021
Primary completionEst.
Sep 24, 2025
CompletionEst.
Sep 24, 2025
Last update
Oct 21, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04719533
Lead sponsor
Sharon Davidesko MD
Responsible party
Sharon Davidesko MD (Principal Investigator, Soroka University Medical Center) — Sponsor-investigator
First posted
Jan 22, 2021
Start date
May 17, 2021
Primary completion
Sep 24, 2025 (estimated)
Completion
Sep 24, 2025 (estimated)
Last update
Oct 21, 2021

Study contacts

Sharon Davidesko, MD
Contact
shazadmoni85@gmail.com
+972546837362
Sharon Davidesko, MD
principal investigator · Soroka University Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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