Prediction of Perineal Tears by Striae Gravidarum Score (TSS)

August 17, 2019 updated by: Ahmed Mohamed Abbas, Assiut University

Episiotomy for Prevention of Perineal Tears During Labor in Women With High Striae Gravidarum Score

Previous studies concluded that striae gravidarum assessment appears to predict the occurrence of perineal tears and recommend training the health personnel to calculate the total striae score which can help them decide if episiotomy is to be given or not. Episiotomy definitely seems to be preventive for perineal tears but giving episiotomy for the same is still debatable as episiotomy in itself is associated with morbidity. the hypothesis is episiotomy done in patients with high score will definitely protects against perineal tears. So, the aim of study is to determine whether assessment of striae gravidarum score could predict occurrence of tears during labor or not, and if episiotomy will prevent perineal tears in women with high score.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

250

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
    • Cairo
      • Assiut, Cairo, Egypt, 002
        • Ahmed Abbas

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion criteria:

  1. Multipara
  2. Singleton pregnancy
  3. Full-term (37- 40 weeks)
  4. Average size fetus (2500-4000 gm)
  5. Cephalic-vertex presentation
  6. Spontaneous onset of labor
  7. No scarred uterus
  8. No medical diseases as hypertension
  9. No obstetric complications as obstructed labor
  10. Women accepted to participate in the study

Exclusion criteria:

  1. Multiple pregnancy
  2. Women with Previous cesarean sections
  3. Preterm labor
  4. Malpresentation
  5. Fetal macrosomia
  6. Medical diseases as diabetes and hypertension
  7. Women refuse to participate in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A
Episiotomy
Procedure: Episiotomy
episiotomy will be done after crowning of the fetal head
No Intervention: Group B
no episiotomy

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Rate of third and forth degree perineal tears
Time Frame: intraoperative
intraoperative

Secondary Outcome Measures

Outcome Measure
Time Frame
Rate of first and second degree perineal tears
Time Frame: intraoperative
intraoperative

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Assiut University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2016

Primary Completion (Actual)

April 2, 2018

Study Completion (Actual)

June 2, 2018

Study Registration Dates

First Submitted

March 13, 2016

First Submitted That Met QC Criteria

March 18, 2016

First Posted (Estimate)

March 24, 2016

Study Record Updates

Last Update Posted (Actual)

August 20, 2019

Last Update Submitted That Met QC Criteria

August 17, 2019

Last Verified

August 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • TSS

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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