Improving postpartum quality of life with enhanced perineal care training for first-time mothers after term vaginal birth

Is this trial a fit for you?

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

What this trial studies

This prospective before-and-after study enrolls primiparous women who have a term vaginal delivery to see if a structured obstetric training program reduces postpartum pelvic floor trauma and improves quality of life. The program includes perineal protection, better episiotomy technique, systematic OASI detection, and hands-on repair. Primary outcomes focus on postpartum anal incontinence and stress urinary incontinence; secondary outcomes include ultrasound markers of pelvic floor integrity. The study uses a baseline cohort and compares outcomes after implementing the training. Participants are adults 18 or older with singleton pregnancies and no prior anorectal disease.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age ≥ 18 years
* Provision of written informed consent
* Primiparity
* Singleton pregnancy
* Gestational age ≥ 36 + 0 weeks at the time of delivery
* Vaginal delivery, including spontaneous, forceps-assisted, or vacuum-assisted births
* No history of anorectal disease and no prior anal or rectal surgery

Exclusion Criteria:

* Multiparity
* Premature delivery
* Twin pregnancy
* Any preexisting anorectal disease
* Preexisting urinary and/or anal incontinence before pregnancy

Where it's running

• University Hospital Hradec Kralove
  Hradec Králové, Czechia Recruiting

Study contacts

• Study coordinator: Dominik Habes, MD
• Email: dominik.habes@seznam.cz
• Phone: +420732545650

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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.