One Plus One Equals Two, Will That do?
NCT03770962 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 3058
Last updated 2021-07-14
Summary
A new clinical practice to reduce perineal trauma has been adopted by many maternity wards in Sweden. This practice involves collegial midwifery assistance during the second stage of labor and the birth of the baby. The midwife responsible for the birth is the primary carer of the woman and the second midwife observes the birth or assists the primary midwife if asked to. The hypothesis is that the presence and support of an extra midwife will reduce severe perineal trauma (trauma to the anal sphincter (OASI)).
The objective of this trial is to evaluate whether collegial midwifery assistance during the second stage reduces perineal trauma grade III-IV.
Conditions
- Sphincter (Anal); Perineal Rupture, Obstetric
- Perineal Tear
- Pelvic Floor Disorders
- Experience, Life
- Second Stage of Labor
Interventions
- BEHAVIORAL
-
Two midwives
Two midwives will be present during the active phase of the second stage and the birth of the baby. "Midwife no 1" is the midwife who has been responsible for the care of the woman and "midwife no 2" will assist her.
Sponsors & Collaborators
-
Karolinska University Hospital
collaborator OTHER -
Region Skane
lead OTHER
Principal Investigators
-
Christine Rubertsson, Professor · Institution of Health Sciences, The Faculty of Medicine, Lund University
-
Pia Teleman, Ass.prof · Region Skåne SUS
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 47 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-12-10
- Primary Completion
- 2020-03-21
- Completion
- 2021-07-13
Countries
- Sweden
Study Locations
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