Impact of Epidural on Trauma of the Genital Tract During Peripartum
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 8,516
- 试验地点
- 1
- 主要终点
- Rate of peripartum genital tract trauma
研究概览
简要总结
Peripartum genital tract injuries (PVT) are common after vaginal delivery and can lead to physical, psychological, and functional sequelae. While several risk factors have been established in the literature, the link between epidural analgesia and these injuries remains controversial. The primary objective of this study was to evaluate the impact of epidural analgesia on the occurrence of PVT. Secondary objectives were to examine its association with instrumentation, episiotomy, and induction of labor, to identify independent risk factors for PVT, and to develop a predictive model for the risk of these injuries.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Vaginal delivery within the CHU Brugmann Hospital, from January 1 2020 till December 31 2002
排除标准
- •Incomplete medical files
- •Delivery before 25 weeks of pregnancy
- •Out of Hospital delivery
- •Medical termination of pregnancy (MTP)
- •Cesarean delivery
结局指标
主要结局
Rate of peripartum genital tract trauma
时间窗: At delivery
Peripartum genital tract trauma is defined as any obstetric injury occurring during vaginal delivery, including perineal tears, episiotomies, and uterine ruptures.
Type of peripartum genital tract trauma
时间窗: At delivery
Distribution and severity of trauma (perineal tears from D1 to D4 according to OMS CIM-10 classification, D1 being superficial damage, versus episiotomies versus uterine ruptures).
次要结局
- Instrumentation rate(At delivery)
- Labor induction rate(At delivery)
研究者
Tatiana Besse-Hammer
Head Physician of Clinical Trial Unit
Brugmann University Hospital