Evaluation of Crowning Time on the Incidence of Levator Ani Muscle Avulsion

Status: Recruiting
Location: See location...
Study Type: Observational
SUMMARY

Levator ani muscle is one of the main components of perineal muscles and plays a crucial role in urinary continence and pelvic organ support. An avulsion, detachment from its insertion, of this muscle can occur during vaginal birth. It is well known that this major injury can cause many symptoms such as urinary incontinence and pelvic organ prolapses. Some risk factors of this important injury have been identified in the literature, such as the use of forceps. However, to date, no study has evaluated the impact of the crowning of the fetal head during labor on perineal muscles, specifically the levator ani muscle avulsion. Hence, the objectives of this study are to evaluate the association i) the time of the crowning of the fetal head during labor and levator ani muscle avulsion, ii) the time of the crowning of the fetal head and urogynecological symptoms, and iii) use of episiotomy and levator ani muscle avulsion. Postpartum primiparous women will undergo a 4D transperineal ultrasound to evaluate their pelvic muscles and complete questionnaires assessing urogynecological symptoms.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Healthy Volunteers: t
View:

• Primiparous women GxT1 At term: ≥ 37+0 weeks of gestation (included) Spontaneous vaginal delivery (SVD) Cephalic presentation History of miscarriage before 20 weeks or with a fetal weight \< 350g

Locations
Other Locations
Canada
CHUS Fleurimont
RECRUITING
Sherbrooke
Contact Information
Primary
Megan Boutilier, resident in OBGYN, Medical Degree
megan.boutilier@usherbrooke.ca
819-346-1110
Backup
Marie-Élisabeth Bouchard, MD, Urogynecologist
marie-elisabeth.bouchard@usherbrooke.ca
819-346-1110
Time Frame
Start Date: 2024-04-23
Estimated Completion Date: 2027-02
Participants
Target number of participants: 92
Treatments
Primiparous women with singleton vertex position having a spontaneous vaginal birth
This cohort study follows primiparous women having had an unassisted by forceps or vacuum labor in post-partum with a 4D ultrasound of the perineum.
Related Therapeutic Areas
Sponsors
Leads: Université de Sherbrooke
Collaborators: Centre de recherche du Centre hospitalier universitaire de Sherbrooke

This content was sourced from clinicaltrials.gov