Mediolateral Episiotomy in Nulliparous Women Increases the Risk of Sexual Dysfunction

NCT ID: NCT05533307

Last Updated: 2022-09-13

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 180 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2019-09-10
• Study Completion Date: 2022-08-08

Brief Summary

Postpartum sexual functions may be affected in women who have had a vaginal delivery by performing an episiotomy. The aim of this study is to compare the frequency of sexual dysfunction between women who were delivered with a mediolateral episiotomy and those who were delivered without an episiotomy.

Materials and Methods: A total of 179 women who gave birth in a tertiary center were included in the prospective study. The patients were divided into two groups as women with and without mediolateral episiotomy. The groups were compared in terms of age, body mass index, educational status, and hospitalization time for delivery and Arizona sexual experiences scale (ASEX).

Detailed Description

All patients were called up for a control in 6th month after delivery and sexual funciton was evaluated according to The Arizona Sexual Experience Scale (ASEX). In our study, we used the ASEX test, age, education level, BMI and time spent in hospital for delivery to investigate sexual dysfunction in healthy women who had a vaginal delivery with or without mediolateral episiotomy. The ASEX test is a 5-question survey. In the questionnaire, women were questioned for sexual drive, arousal, vaginal lubrication, ability to reach orgasm, satisfaction from the orgasm. Women gave points from 1 to 6 and their results were recorded.

Conditions

Episiotomy; Complications

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

nulliparous women with normal birth (not needed mediolateral episitomy)/1

group without mediolateral episiotomy

observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth

Intervention Type: DIAGNOSTIC_TEST

ASEX (ARİZONA SEXUEL FONCTİON SCORİNG) TEST

nulliparous women with normal birth (with mediaolateral episiotomy)/2

group with mediolateral episiotomy

observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth

Intervention Type: DIAGNOSTIC_TEST

ASEX (ARİZONA SEXUEL FONCTİON SCORİNG) TEST

Interventions

observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth

ASEX (ARİZONA SEXUEL FONCTİON SCORİNG) TEST

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• Nulliparous women who gave birth at term
• No smoking or alcohol consumption
• Chronic illness
• Spontaneous labor( The labor was defined as cervical dilatation of at least 2cm with at least 80% of effacement with regular contractions or 4cm dilatation with any effacement with regular contractions or the flow of amniotic fluid.

Exclusion Criteria

• history of any pregnancy complication (gestational diabetes, hypertension, oligohydramnios, any suspicion of infection or chorioamnionitis…etc.),
• history of multiparity,
• history of sexual dysfunction,
• history of vaginal surgery and frequent vaginal infection.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Batman Training and Research Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Erhan Okuyan,M.D

M.D,Obstetric and gynecology division

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Batman Training and Research Hospital

Batman, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

EOkuyan

Identifier Type: -

Identifier Source: org_study_id