Prospective Evaluation of Perineal Ultrasound in Thr Delivery Room to Improve the Diagnosis of OASIS
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Episiotomy
- Sponsor
- Ain Shams University
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- anal incontinence
- Last Updated
- 7 years ago
Overview
Brief Summary
The aim of the study is to evaluate the role of routine perineal scan using 2D ultrasound immediatly after delivery to diagnose hidden perineal trauma that might affect patient's fecal continance
Detailed Description
In countries where there is high prevalence of doing episiotomy in primiparous women, the incidence of sustained obstetric anal sphincter injuries is increasing. When the tear extend beyond the external anal sphincter its called 'OASIS' that might lead to either immediate of delayed anal incontinence. Anal incontinence is associated with significant medical, hygiene and social problems. Use of perineal ultrasound as a bedside test immediately after vaginal delivery could improve the diagnosis and determining the degree of these perineal traumas. This increased detection could lead to improved primary repair of the external and internal anal sphincter resulting in reduced rates of anal incontinence and improved quality of life for women
Investigators
Ahmed Mohamed El Kotb Abdel Fattah
Dr. Ahmed Kotb
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •primiparous women immediately after vaginal delivery
Exclusion Criteria
- •history of anal incontinence
- •previous anal sphincteric injuries
- •previous anal surgery
Outcomes
Primary Outcomes
anal incontinence
Time Frame: 3 months after delivery
patients will be reviewed for anal incontinence 3 months after delivery
Secondary Outcomes
- pain score(3 and 12 month after delivery)
- questionnaire for effect on quality of life(3 and 12 month after delivery)