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Prevalence of Anal Sphincter Defects After Childbirth

Not yet recruiting
Conditions
Fecal Incontinence
Childbirth Problems
Interventions
Other: Endoanal Ultrasound (EAUS)
Registration Number
NCT05196620
Lead Sponsor
Universidad de Zaragoza
Brief Summary

The incidence of obstetric sphincter tears has risen to 15-30% and the prevalence of anal incontinence (AI) symptoms after childbirth may be as high as 40%. The present study aims to evaluate the prevalence of anal sphincter defects after childbirth in primiparous women-

Detailed Description

The incidence of sphincter defect in women has raised in recently with current rates as high as 30% after vaginal deliveries. Fecal incontinence could be present at the time of the delivery but it is a real problem longtime after, in women older than 60 years.

It is of great importance not only an early detection but to indicates the best possible management as soon as posible.

The design is a prospective observational study including primiparous woman, without previous anal surgery.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
Female
Target Recruitment
100
Inclusion Criteria
  • Primiparous pregnant patients aged >18 y, evaluated during pregnancy and after childbirth, including both vaginal and cesarean deliveries.
Exclusion Criteria
  • Non primiparous patients and patients with a history of anal surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
EAUSEndoanal Ultrasound (EAUS)Patients with EAUS pre and postpartum
Primary Outcome Measures
NameTimeMethod
Integrity of anal sphincter4 months

No defect detected on EAUS

Defects on anal canal4 months

Disruption of any of the anal canal sphincters

Secondary Outcome Measures
NameTimeMethod
QoL4 months

According to a dedicated questionnaire

Trial Locations

Locations (1)

Hospital Clinico Lozano Blesa

🇪🇸

Zaragoza, Spain

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