Vaginal Birth After Caesarean Section and Levator Ani Avulsion

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

469 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-08-02

Study Completion Date

2020-12-10

Brief Summary

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There is no data regarding the risk of levator ani avulsion in women after a vaginal birth after caesarean although a possible increased risk has been suggested. The aim of the study is to describe the incidence of levator ani avulsion and compare it to primiparous women. In addition, health related quality of life will be evaluated and compared

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Detailed Description

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Levator ani muscle avulsion is a frequent postpartum trauma imposing a considerable risk of pelvic organ prolapse on women in later life. Furthermore, the trauma reduces the effectiveness of pelvic reconstructive surgery and has a detrimental effect of the sexuality of the affected women. The trauma occurs most frequently in the first vaginal delivery with an incidence of 10-30%. However, the risk of levator avulsion in women after vaginal birth after caesarean section (VBAC) is unknown although possible increased risk has been suggested.

The aim of the study is to assess the prevalence of levator ani avulsion among women who delivered vaginally after a caesarean section and make a comparison with a primiparous cohort. The secondary aim is to evaluate and compare the health related quality of life regarding pelvic floor disorders and sexuality.

Conditions

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Birth Injuries

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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VBAC

secundiparous women after one vaginal birth after caesarean section

No interventions assigned to this group

controls

women after one vaginal delivery

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* one term vaginal delivery in obstetric history
* agreement with the enrollment

Exclusion Criteria

* Women with a history of repeat VBAC or a vaginal delivery prior to the index caesarean section
* women with preterm labor
* epidural analgesia
* multiple pregnancy
* dead or malformed fetus

Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No