Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Group-based follow-up for women after obstetric anal sphincter injury

Official title: Postpartum Health Trajectories the First Year After Obstetric Anal Sphincter Injury and the Impact of a Group-Based Intervention: The ADAPT Randomized Controlled Trial

Run by Herlev Hospital · NCT07667660 · Data updated 2026-11-12

A group-based follow-up program is being tested to see if it can improve quality of life for women who had a tear at the anal sphincter after childbirth.

More Obstetric Anal Sphincter Injury trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment110 (estimated)
SponsorHerlev Hospital
Academic / other
Locations1 site (Herlev, Capital Region)
StatusRecruiting
StartedSeptember 14, 2026
Main results expectedAugust 31, 2029
Study endsAugust 31, 2029
Registry record updatedOctober 30, 2026
Trial IDNCT07667660 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older with an OASI (Grade 3-4) followed at Herlev Hospital, fluent in Danish, and able to consent.

Probably not a fit

Women not experiencing improvements in symptoms or who do not engage with the group sessions may not receive added benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized trial compares a structured, group-based follow-up program to standard care in women with obstetric anal sphincter injury (OASI) within the first year after delivery. Participants complete questionnaires at multiple time points and may receive a clinical exam with pelvic ultrasound. The intervention includes three group sessions with focus on pelvic floor exercises, incontinence, emotions, sexual life, and daily challenges. Outcomes include quality of life related to anal incontinence, mental health, sexual function, prolapse and urinary symptoms, and body image.

Why it matters

Potential benefit: If successful, the program could improve quality of life and reduce symptom burden for women after OASI.

How similar studies have gone: Previous research suggests structured support can help with pelvic floor symptoms, but this specific group-based program in the first year after OASI is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Obstetric Anal Sphincter Injury (OASI - Grade 3-4 tear) and clinical follow-up postpartum at the "Pelvic Clinic" at Herlev Hospital
* 18 years of age or above and the capacity to provide informed consent
* Fluent in Danish language

Exclusion Criteria:

* Referred patients from other hospitals due to complicated healing
* Patients where other Hospitals are responsible for the clinical follow-up

Where it's running

  • Department of Gynecology and Obstetrics at Herlev Hospital
    Herlev, Capital Region, Denmark
    Recruiting

Study contacts

  • Principal investigator: Hanna Jango, MD, PhD, Associate Professor — Department of Gynecology and Obstetrics at Herlev Hospital
  • Study coordinator: Hanna Jango, MD, PhD, Associate Professor
  • Email: hanna.margareta.jangoe@regionh.dk
  • Phone: +4538681612

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.