Application of a Perineal Protection Device in Vacuum-assisted Births: a Prospective Randomized Controlled Trial
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Vaginal Tear
- Sponsor
- University of Zurich
- Enrollment
- 194
- Locations
- 1
- Primary Endpoint
- rate of vaginal tears
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Visible birth tears are common in vaginal births, especially in vacuum-assisted births. One aim of obstetrical work is to minimize such injuries by an adequate birth management , for example with a proper perineal support. The medical device "BabySlide®" was developed as an auxilliary device for perineal support and already evaluated in a multicenter randomized controlled trial in Schweden in pregnant women during vaginal birth. It could be seen, that the application of the device significantly reduced the rate of vagibal tears and low-grade perineal tearsin the intervention group (with application of the BabySlide®) in contrast to the controlo group (without application of the BabySlide®) by about 10%. In this study, solely 10% of births were ended by vacuum assistance. However, birth tears appear much more often in vacuum-assisted births than in normal spontaneous births. Therefore, the aim of this study is to evaluate the application of the device explicitly in vacuum-assisted births and to investigate if the application should be recommende in vacuum extractions in general in the future.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Schwangere Frauen ab 18 Jahren
- •Schwangerschaftsalter ab 36+0 SSW bei Geburt
- •Einlingsschwangerschaft
- •Schädellage des Kindes bei Geburt
- •Anstreben einer Vaginalgeburt am USZ
- •Geburtsbeendigung per Vakuumextraktion (Saugglocke)
- •Schriftliche Einwilligung der teilnehmenden Person nach erfolgter Aufklärung (ausreichende Deutsch- bzw. Englischkenntnisse)
Exclusion Criteria
- •- Geburtsbeendigung per Spontangeburt, Forcepsextraktion (Zange) oder Sectio caesarea (Kaiserschnitt)
- •Maternale Erkrankung des Bindegewebes (z.B. Kollagenosen)
- •Äusserliche fetale Fehlbildungen, die den Geburtsablauf und die Grössenverhältnisse von Kind zu Geburtskanal verändern
- •Intrauteriner Fruchttod des Kindes
- •Vaginale, perineale und/oder vulväre Voroperationen (ausser Naht von Geburtsverletzungen)
- •St.n. Beckenboden-Operation oder Inkontinenz-Operation
- •St.n. Infibulation
- •Anwendung des EPI-NO® Dammtrainers während der Schwangerschaft
- •Bekannte Allergien gegenüber einem der Inhaltsstoffe des BabySlide®
Outcomes
Primary Outcomes
rate of vaginal tears
Time Frame: at day of birth
assessment of the rate of vaginal tears in the posterior compartment by inspection
rate of low-grade perineal tears
Time Frame: at day of birth
assessment of the rate of low-grade perineal tears by inspection
Secondary Outcomes
- rate of high-grade perineal tears(at day of birth)
- Fetal adverse effects(within 1-4 days after birth)
- Maternal comfort with the BabySlide(within 1-4 days after birth)
- Maternal adverse effects(within 1-4 days after birth)
- User abilitiy(directly after the procedure)