Risk Factors for Anal Sphincter Damage During Vaginal Delivery (AnaSphRF)
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Purpose
Vaginal delivery may cause various levels of damage to the anal sphincter. According to the literature, one third - two third of women diagnosed with 3rd degree rupture during vaginal delivery suffer from fecal incontinence. This has an adverse effect on the quality of life. Different risk factors such as: first births, instrumental delivery, high birth weight, prolonged second stage, epidural anesthesia etc. were assessed and found to be associated with anal sphincter disruption. The purpose of this study is to assess risk factors for anal sphincter disruption by new methods such as three-Dimensional transperineal ultrasound (3D transperineal US).
| Condition | Intervention |
|---|---|
|
Anal Sphincter Injury Fecal Incontinence |
Other: 3D transperineal Ultrasound |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Official Title: | Risk Factors for Anal Sphincter Damage During Vaginal Delivery |
- Anal sphincter damage [ Time Frame: up to one year after vaginal birth ] [ Designated as safety issue: No ]Anal Sphincter Damage wil be assessed by usin 3D transperineal US in women after vaginal delivery
| Estimated Enrollment: | 500 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
anal sphincter damage
After assessing women after vaginal delivery, a comparison will be made between those with anal sphincter damage and those women without.
|
Other: 3D transperineal Ultrasound
3D transperineal Ultrasound after vaginal delivery
|
Eligibility| Ages Eligible for Study: | 17 Years to 42 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
The study population are women between ages 17 and 40 after their first delivery at the Hadassa Mount Scopus hospital in Jerusalem, Israel.
Inclusion Criteria:
- First Delivery
- Vaginal Delivery
- Birthweight > 3000
- Singleton pregnancy
Exclusion Criteria:
- Anal sphincter disruption before birth
Contacts and Locations| Contact: Hadas Lemberg, PhD | 0097226777572 | lhadas@hadassah.org.il |
| Israel | |
| Hadassah Medical Organization | Recruiting |
| Jerusalem, Israel, 91120 | |
| Contact: Hadas Lemberg, PhD 0097226777572 lhadas@hadassah.org.il | |
| Principal Investigator: Drorith Hochner-Celnikier, MD | |
| Principal Investigator: | Drorith Hochner, MD | Hadassah Medical Organization |
More Information
No publications provided
| Responsible Party: | Hadassah Medical Organization |
| ClinicalTrials.gov Identifier: | NCT01310426 History of Changes |
| Other Study ID Numbers: | AnaSphRF-HMO-CTIL |
| Study First Received: | March 1, 2011 |
| Last Updated: | November 7, 2012 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Hadassah Medical Organization:
|
Anal Sphincter injury Fecal Incontinence |
Additional relevant MeSH terms:
|
Fecal Incontinence Rectal Diseases Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013