Prediction of Perineal Tears by 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.

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Key information

Conditions

Normal Labor

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Ahmed Abbas

Assiut, Cairo Governorate, 002, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Multipara
Singleton pregnancy
Full-term (37- 40 weeks)
Average size fetus (2500-4000 gm)
Cephalic-vertex presentation
Spontaneous onset of labor
No scarred uterus
No medical diseases as hypertension
No obstetric complications as obstructed labor
Women accepted to participate in the study

Exclusion criteria

Multiple pregnancy
Women with Previous cesarean sections
Preterm labor
Malpresentation
Fetal macrosomia
Medical diseases as diabetes and hypertension
Women refuse to participate in the study

Treatment and study plan

episiotomy

Procedure

episiotomy will be done after crowning of the fetal head

Primary outcomes

Rate of third and forth degree perineal tears

Time frame: intraoperative

Secondary outcomes

Rate of first and second degree perineal tears

Time frame: intraoperative

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

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

Acronym: TSS

Important dates

Study start: 2016
Primary completion: 2018
Study completion: 2018
First posted: Mar 24, 2016
Registry last updated: Aug 20, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed