An interventional study of Routine Episiotomy and Restrictive Episiotomy in Labor Complication, sponsored by Muhammad Aamir Latif. Completed at 1 site in Pakistan. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-09-01.
Sponsored by Muhammad Aamir Latif · Not applicable, Interventional, and Prevention
The ongoing debate over routine versus selective episiotomy in primiparous term women underscores the necessity for updated local data. Consequently, this study was designed to compare the outcomes-specifically regarding perineal tears and postpartum hemorrhage (PPH)-between routine and selective episiotomy in primigravida women at term.
Perineal tears remain a common concern following normal vaginal delivery, particularly among primigravida women delivering at term. Episiotomy has traditionally been performed to reduce the risk or severity of perineal trauma, although the benefits of routine versus selective episiotomy remain a subject of ongoing debate. While routine episiotomy may be considered protective in some circumstances, restrictive use has also been advocated to avoid unnecessary perineal injury and other associated complications. This study aims to provide baseline data on perineal tears among primigravida women undergoing normal vaginal delivery, thereby promoting greater vigilance during labor and delivery. The findings may also help obstetricians make informed decisions regarding the appropriate use and justification of episiotomy in this population.
88 studies on the registry are indexed under Obstetric Labor Complications; 24 are open to participants now.
This study's enrollment of 466 is above the median of 159 across 63 interventional studies indexed under Obstetric Labor Complications.
Browse Obstetric Labor Complications studies →Muhammad Aamir Latif is the lead sponsor of 58 studies on the registry; 9 are open to participants now.
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Exclusion Criteria:
Patients were managed by routine method in which episiotomy was performed without any indication.
Procedure: Routine Episiotomy
The patient underwent restrictive episiotomy when clinically indicated due to a risk of a third- or fourth-degree perineal tear or fetal compromise.
Procedure: Restrictive Episiotomy
Patients were managed by routine method in which episiotomy was performed without any indication.
The patient underwent restrictive episiotomy when clinically indicated due to a risk of a third- or fourth-degree perineal tear or fetal compromise.
Perineal tear
Frequency of patients with perineal tear, defined as presence of laceration or disruption at any level from skin to the muscles and anal sphincters, was noted, .
Time frame: Immediately after the procedure
Postpartum Hemorrhage
Frequency of patients with postpartum hemorrhage, defined as Blood loss of more than 500 mL after vaginal delivery measured as one full kidney tray, was noted.
Time frame: Immediately after the procedure
Plan to share: No — Data can be shared on a reasonable request.
No publications or documents are linked to this record.
Ran from May 2025 to primary completion in Oct 2025, 5 months.
Of 27 interventional studies with no phase under Obstetric Labor Complications, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 51. This study's 5 months is below that.
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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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Obstetric Labor Complications →
Muhammad Aamir Latif