Obstetric Anal Sphincter Injury Clinical Trial
— SEA ELASTO 1Official title:
Reproducibility of External Anal Sphincter Elastic Properties Assessment Using Elastography During Pregnancy
The risk prediction of obstetric anal sphincter injury couyl be optimized by considering pregnant women's anal sphincter intrinsic viscoelastic properties. Shear wave elastography is a new technology that allowed an in vivo assessment of viscoelastic properties of tissues such as muscles. The main endpoint of this study is to assess the intra-observer and the inter-observer reproducibility of a the external anal sphincter assessment using shear wave elastography in term pregnant women.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | October 14, 2021 |
Est. primary completion date | October 7, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - pregnant women aged of 18 years or more - 37 weeks or more of pregnancy - without any previous delivery (vaginal or cesarean delivery) - body mass index < 35Kg.m-2 - without history of Crohn's disease - without history of peri anal surgery - without any proctologic disease - without any muscular chronic disease - having a normal pregnancy - without any untreated psychiatric disorders - without any judicial protection - affiliated to a health insurance Exclusion Criteria: - pregnant women younger than 18 years old - obstetric term inferior than 37 weeks - history of vaginal and/or cesarean delivery - body mass index of 35Kg.m-2 or more - history of Crohn's disease - history of peri anal surgery - proctologic disease - muscular chronic disease - pathological pregnancy (intrauterine growth restriction, pre eclampsia etc..) - untreated psychiatric disorders - women under judicial protection - women without affiliated to a health insurance |
Country | Name | City | State |
---|---|---|---|
France | CHU de Poitiers | Poitiers |
Lead Sponsor | Collaborator |
---|---|
Poitiers University Hospital |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | value of shear modulus measures in the external anal sphincter for each visit with the calculation of the ICC | The mean value of shear modulus measures in the external anal sphincter for the three considered conditions (rest, Valsalva maneuver and contraction) at each visit and for each observer with a calculation of Intraclass Correlation Coefficient | up to seven days | |
Primary | value of shear modulus measures in the external anal sphincter for each visit with the calculation of the coefficent of variation | The mean value of shear modulus measures in the external anal sphincter for the three considered conditions (rest, Valsalva maneuver and contraction) at each visit and for each observer with a calculation of Variation Coefficient | up to seven days | |
Secondary | Perineal tears at childbirth | the existence of a perineal tear according the RCOG-OMS classification | up to 4 weeks | |
Secondary | Feasibility of the assessment of the external anal sphincter: percentage of completed procedure | percentage of completed procedure (ability to identify the extarnal anal sphincter and to perform a shear wave elastography assessment) | up to seven days | |
Secondary | Acceptability of the procedure: question with a scale | answer to the acceptability question with a scale from 0 to ten | up to seven days |
Status | Clinical Trial | Phase | |
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