Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03825211
Other study ID # Ujaen Sutura Lesiones
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date November 1, 2016
Est. completion date December 31, 2018

Study information

Verified date January 2019
Source University of Jaén
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The hypothesis: Women who have a continuous suture have better health outcomes Two types of sutures were placed in the perineal lesion, using different techniques. Group A received continuous sutures and Group B had interrupted sutures placed. The women were followed-up as follows: Day of childbirth and in the postpartum period.


Description:

The hypothesis: Women who have a continuous suture have better health outcomes Two types of sutures were placed in the perineal lesion, using different techniques. Group A received continuous sutures and Group B had interrupted sutures placed. The women were allocated to a treatment group using a computer-generated random numbers table. The sequence was placed in individual opaque envelopes that were opened when a woman met the inclusion criteria.

The health personnel that carry out the sutures had taken a training course on continuous suture technique and had at least one year experience in this technique. Additionally, this person had a minimum of five years of experience in attending deliveries and therefore also in the suturing of perineal lesions. The sutures were placed by ten trained midwives. Around 5% of the midwives in Torrecardenas, 10% in the Hospital Complex of Jaen, 12% in Granada, and 20% of the midwives in Ubeda and Linares participated.

Data collection Data was collected on sociodemographic variables, type of perineal trauma (tear of second-degree or episiotomy), type of suture used, time spent placing suture, number of suture packets used, complications, analogical scale of pain, type of pain, need for analgesia, wound condition, care performed, urinary and/or fecal incontinence, start of sexual relations, start of physical activity and type of newborn feeding. It was also collected the start and type of delivery, medication during dilation, type of analgesia used, gestational week, duration of dilation, second stage labor and delivery, and data on the newborn.

Information was gathered by midwives which interviewed the women in the labor room, providing them with an informed consent form, and hiding the suture technique that was going to be used. The rest of the data were obtained from the clinical history, maternal record book and phone calls made for the follow-up. The women did not know at any point which suture technique had been used.

Follow-up

The women were followed-up as follows:

Day of childbirth: in the postpartum period, the midwife collected data on the type of delivery, need for epidural analgesia, duration of dilation, stage two of labor, delivery, type of perineal trauma, time used to place suture, number of suture packets, wound complications, newborn weight and the Apgar score at one minute and at five minutes. After the suture was placed, they assessed pain on the pain scale and assessed the wound.

Follow-up after delivery was done at two hours, 24 hours, 15 days and three months. Pain, need for analgesia, wound condition, sphincter incontinence and the start of sexual relations were assessed (15 days and three months).


Recruitment information / eligibility

Status Completed
Enrollment 134
Est. completion date December 31, 2018
Est. primary completion date May 31, 2018
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Age >18 years

- Primiparous

- Singleton and eutocic delivery

- Second-degree perineal tear or an episiotomy as part of labor

- Newborn weight between 2500 g and 4000 g

Exclusion Criteria:

- Language barrier (to no speak spanish)

- Problems related to the pelvic floor prior to labor (prolapse, incontinence, vulva varices)

- Dyspareunia or sexual dysfunction

- Hemorrhoids perceived as uncomfortable or painful

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Continuous suture in the perineals lesions
A continuous suture of the vagina, muscle and skin is performed continuously, without knotting or cutting the suture thread.
Discontinuous suture in the perineals lesions
Suture the muscle independently of the vagina and independently of the skin

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
University of Jaén

Outcome

Type Measure Description Time frame Safety issue
Primary Analogical scale of pain It consists of a line horizontal 10 centimeters, at the ends of which are the extreme expressions of a symptom In the left is the absence or less intensity and in the right the greater intensity After delivery was done at two hours
Primary Numerical verbal scale for pain Scale numbered 1-10, where 0 is the absence and 10 the highest intensity, the patient selects the number that best assesses the intensity of the symptom. After delivery was done at 24 hours
Primary Numerical verbal scale for pain Scale numbered 1-10, where 0 is the absence and 10 the highest intensity, the patient selects the number that best assesses the intensity of the symptom. After delivery was done at 15 days
Primary Numerical verbal scale for pain Scale numbered 1-10, where 0 is the absence and 10 the highest intensity, the patient selects the number that best assesses the intensity of the symptom. After delivery was done at three months.
Secondary Questionnaire The woman was asked if she had involuntary urine losses.The possible answer is "yes" (she has incontinence) or "no" (she has no incontinence) After delivery was done 15 days
Secondary Questionnaire The woman was asked if she had involuntary urine losses. The possible answer is "yes" (she has incontinence) or "no" (she has no incontinence) After delivery was done three months.
Secondary Questionnaire on Women Sexual Function (WSF) This questionnaire has been validated in Spain. The instrument is composed of two types of domains: the evaluators of sexual activity, which are answered by a Likert scale of five values; and the descriptive ones, which have no quantitative value and help to know issues such as the frequency of sexual activity or the existence of sexual dysfunction in the respondent. It consists of 14 items, an alternative item and a question to open the questionnaire. To diagnose sexual dysfunction, only 6 questions are counted: Desire, Excitement, Lubrication, Orgasm, Problems with vaginal penetration, Anticipatory anxiety. Diagnostic results are categorized into: severe, moderate and no-disorder disorder. It does not establish degrees of dysfunctionality of sexual function, it is not shown in validation study if there is a cutoff point. The maximum score of this questionnaire is 100, which is interpreted as "without sexual dysfunction". After delivery was done at three months.
See also
  Status Clinical Trial Phase
Recruiting NCT05908292 - Optimizing Postpartum Pelvic Health Through Self-Scar Tissue Massage of Episiotomy and Perineal Scar Tissue A Pilot RCT N/A
Completed NCT03184077 - Rapidly Absorbing Polyglactin 910 Versus Poliglecaprone 25 for Laceration Repair N/A
Completed NCT03670420 - The Application of Honey on Perineal Sutures N/A
Completed NCT03039582 - Short Anovaginal Distance is Associated With Obstetric Anal Sphincter Rupture N/A
Recruiting NCT05935371 - Consequences of Obstetric Anal Sphincter Injuries on Maternal Psychology and Relationship Experience
Completed NCT03041779 - Comparison Between Rectal Suppository Acetaminophen and Diclofenac Sodium as Analgesia for Postpartum Perineal Tear Phase 2
Not yet recruiting NCT05556304 - In Vivo Evaluation of Perineal Mechanical Properties During Childbirth N/A
Recruiting NCT03983343 - Skin Glues Compared to Running Sutures for Perineal Skin Repair After Vaginal Delivery. A Randomized Controlled Trial N/A
Completed NCT01533467 - A Device Designed to Protect the Perineum During Labor Phase 2
Completed NCT04860102 - Hands on vs Hands Off for Perineal Laceration N/A
Suspended NCT04914182 - Low Power Laser for Spontaneous Perineal Laceration N/A
Completed NCT03163160 - Electrolysis Technique vs Manual Therapy in Pelvic Pain N/A
Completed NCT05282160 - The Influence of Prepartum Perineal Training With the Epi-No Device on Pelvic Floor Function. N/A
Completed NCT05955352 - The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes N/A
Completed NCT03559816 - Selective Use of Episiotomy: the Impact on Perineal Trauma.
Recruiting NCT04544488 - Descriptive Evaluation of Expulsive Efforts During Pregnancy in Term Nulliparous Women by Measurement of Intra Bladder Pressure: Pilot Observational Study. N/A
Completed NCT03770962 - One Plus One Equals Two, Will That do? N/A
Completed NCT05946005 - Lidocaine, Povidone Iodine, and Honey Application on Second-degree Perineal Tear Healing Phase 4
Completed NCT05962918 - Perineal Massage Performed During the Labour N/A
Completed NCT04370340 - Application of a Perineal Protection Device in Vacuum-assisted Births Phase 3