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NCT05218837

Development and Validation of a Logistic Regression Algorithm to Predict the Risk of Obstetric Anal Sphincter Injury.

Completed Last updated 17 February 2022
What this trial tests

trial testing Vaginal birth in Sphincter (Anal); Perineal Rupture, Obstetric in 800,000 participants. Completed in 31 December 2018.

Timeline
30 October 2018
Primary endpoint
31 December 2018
31 December 2018

Quick facts

Lead sponsorMaria Gyhagen
StatusCompleted
Study typeOBSERVATIONAL
Enrollment800,000
Start date30 October 2018
Primary completion31 December 2018
Estimated completion31 December 2018
Sites1 location across Sweden

Drugs / interventions tested

Conditions studied

Sponsor

Maria Gyhagen

Who can join

Eligibility, female only, with Sphincter (Anal); Perineal Rupture, Obstetric. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

An obstetric anal sphincter injury (OASI) occurs during the final stage of a vaginal delivery. This tissue laceration, even if adequately sutured, poses a substantial threat to bowel continence in women.1,2 In a recent register-based study we showed that following an OASI at the first birth, the risk of a repeat injury almost tripled and that the long-term prevalence of fecal incontinence (FI) doubled in women with 1 OASI and tripled in those with 2 consecutive OASIs, in comparison with nulliparous women not affected by childbirth.3 Most OASIs occur seemingly by chance in the absence of known risk markers, and there is still no prediction model that is of use to avoid OASI in the clinical setting.4 Therefore, these injuries are often excused as inevitable and impossible to foresee. The aim of this study is to develop and validate prediction models for the risk of an OASI in high- and low-risk scenarios.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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