NCT01930721

Comparison of Incision Angle of Mediolateral Episiotomy at 40 and 60 Degrees

• Status: Unknown
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 330 (estimated)
• Sponsor: Ain Shams Maternity Hospital · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Accepted

Summary

The angle at which an episiotomy can be made is a continuous variable. If the investigators consider midline to be 0 degrees and a lateral episiotomy (never used today) to be 90 degrees, then it is theoretically possible to choose any angle from 0 to 90 degrees.

Detailed description

Episiotomy is a surgical incision to the perineum in order to enlarge the vaginal orifice during the second stage of labor. Although seven types of episiotomy have been described in the literature , the most frequently performed types are the mediolateral and median episiotomies, with the former being the most common one. Despite being a common obstetric practice, the exact definition of a "mediolateral" episiotomy is often unclear. Several studies and reports, however, stated that a significant proportion of the so-claimed mediolateral episiotomy were not actually mediolateral. The current trial compares two angles of mediolateral episiotomy , regarding the risk of third- and fourth-degree perineal tearing, episiotomy-related pain and dyspareunia in primiparous women at a large tertiary maternity center, namely Ain Shams University Maternity Hospital, Cairo, Egypt.

Conditions

• Obstetric Labor Complications

Interventions

Type	Name	Description
PROCEDURE	episiotomy	incision angle of episiotomy will be 60 degrees.
PROCEDURE	episiotomy	incision angle of episiotomy will be 40 degree before cutting.

Timeline

• Start date: 2012-03-01
• Primary completion: 2013-08-01
• Completion: 2013-09-01
• First posted: 2013-08-29
• Last updated: 2013-08-29

Locations

1 site across 1 country: Egypt