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Comparison of Finnish and Viennese Techniques for Perineal Protection in Women During the Second Stage of Labor

NCT07537842 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60

Last updated 2026-04-17

No results posted yet for this study

Summary

The goal of this clinical trial is to find out which method of protecting the perineum during childbirth works better in reducing tears in first-time mothers. The study will compare two commonly used techniques-Finnish and Viennese manual perineal protection-during the second stage of labor. It will also assess whether these techniques are safe and practical to use.

The main questions it aims to answer are:

1. Does the Finnish technique reduce the number of perineal tears compared to the Viennese technique?
2. Are there any differences in labor outcomes or complications between the two techniques?

Researchers will randomly assign 60 pregnant women (first-time mothers with full-term, single pregnancies) into two groups. One group will receive the Finnish technique, while the other group will receive the Viennese technique during the second stage of labor.

Participants will:

* Be enrolled when they are in active labor and planning a normal vaginal delivery
* Be randomly assigned to one of the two perineal protection techniques
* Have their labor monitored, including the duration of different stages of labor
* Undergo a clinical examination after delivery to check for any perineal tears

A trained obstetrician who is not aware of which technique was used will examine the mother after delivery to ensure unbiased assessment. Any tears identified will be treated according to standard hospital guidelines.

By comparing these two techniques, this study aims to identify the safer and more effective method to reduce perineal injury during childbirth, which may help improve maternal outcomes and quality of care.

Conditions

  • Vaginal Delivery
  • Perineal Tear Resulting From Childbirth

Interventions

PROCEDURE

Finnish Manual Perineal Protection Technique

This involves applying pressure with the flexed middle, ring, and little fingers to support the perineum and control delivery of the fetal head. This would reduce perineal stretching and tearing during delivery.

PROCEDURE

Viennese Manual Perineal Protection

This technique includes applying ventral pressure with the ulnar part of the palm while supporting the perineum and controlling fetal head extension at crowning.

Sponsors & Collaborators

  • Nishtar Medical University

    lead OTHER

Principal Investigators

  • Syeda A Professor, FCPS · Nishtar Medical University

Study Design

Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
20 Years
Max Age
35 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2025-08-28
Primary Completion
2026-03-02
Completion
2026-03-02

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07537842 on ClinicalTrials.gov