Prediction of Perineal Tears by Striae Gravidarum Score

Assiut University250 enrolled

Overview

Previous studies concluded that striae gravidarum assessment appears to predict the occurrence of perineal tears and recommend training the health personnel to calculate the total striae score which can help them decide if episiotomy is to be given or not. Episiotomy definitely seems to be preventive for perineal tears but giving episiotomy for the same is still debatable as episiotomy in itself is associated with morbidity. the hypothesis is episiotomy done in patients with high score will definitely protects against perineal tears. So, the aim of study is to determine whether assessment of striae gravidarum score could predict occurrence of tears during labor or not, and if episiotomy will prevent perineal tears in women with high score.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

250

Conditions

Normal Labor

Interventions

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion criteria: 1. Multipara 2. Singleton pregnancy 3. Full-term (37- 40 weeks) 4. Average size fetus (2500-4000 gm) 5. Cephalic-vertex presentation 6. Spontaneous onset of labor 7. No scarred uterus 8. No medical diseases as hypertension 9. No obstetric complications as obstructed labor 10. Women accepted to participate in the study Exclusion criteria: 1. Multiple pregnancy 2. Women with Previous cesarean sections 3. Preterm labor 4. Malpresentation 5. Fetal macrosomia 6. Medical diseases as diabetes and hypertension 7. Women refuse to participate in the study

Outcomes

Primary Outcomes

Rate of third and forth degree perineal tears

Time frame: intraoperative

Secondary Outcomes

Rate of first and second degree perineal tears