Risk Factors for Anal Sphincter Damage During Vaginal Delivery

Hadassah Medical Organization33 enrolled

Overview

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).

Study Type

OBSERVATIONAL

Enrollment

Conditions

Anal Sphincter Injury Fecal Incontinence

Interventions

3D transperineal UltrasoundOTHER

3D transperineal Ultrasound after vaginal delivery

Sex: FEMALEMin age: 17 YearsMax age: 42 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * First Delivery * Vaginal Delivery * Birthweight \> 3000 * Singleton pregnancy Exclusion Criteria: * Anal sphincter disruption before birth

Locations (1)

Hadassah Medical Organization

Jerusalem, Israel

Outcomes

Primary Outcomes

Anal sphincter damage

Anal Sphincter Damage wil be assessed by usin 3D transperineal US in women after vaginal delivery

Time frame: up to one year after vaginal birth

Data from ClinicalTrials.gov

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