Delivery, Obstetric Clinical Trial
Official title:
Evaluation of the Effectiveness and Safety of Impedance Spectroscopy Device in Detecting Sphincter Injuries in Women After Natural Delivery
The main purpose of the study is to evaluate the effectiveness and safety of the impedance
spectroscopy device prototype in detection of anal sphincter injuries in women in the early
postpartum period. The study is prospective. The study group comprises 24 patients; included
in it 6-8 weeks after natural delivery. The planned participation of each patient in the
study is up to 4 weeks and three visits will take place at that time.
After obtaining written consent, at the screening visit (V0) each patient will undergo a
physical examination, blood samples for laboratory tests and stool samples for calprotectin
concentration assessment will be collected.
On the second visit (V1), after the final verification of inclusion/exclusion criteria,
impedance spectroscopy using tested device will be performed in each patient, the electrical
impedance of pelvic floor muscles will be measured and the degree of anal sphincter damage
will be evaluated. Full gynecological and proctological examination (including a
gynecological speculum, two-handed examination, rectal examination and anoscopy) will be
carried out.
On the third visit (V2), two reference diagnostic tests (with evidenced effectiveness and
safety), transanal ultrasonography and anorectal manometry, will be conducted. The collected
data will be used to select the optimal therapeutic method for each participant individually.
n/a
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