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Impact of Early Physiotherapy on Pain, Quality of Life, Pelvic Floor Function, and Sexual Health Post-Episiotomy

RecruitingNAAges 18 Years - 40 YearsFemaleBrno University Hospital
NCT06568406 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Surgical incision of the perineum and the posterior vaginal wall during a vaginal delivery (episiotomy) is among the most common surgical procedures performed in obstetrics. On the condition of having been performed correctly and in certain situations, episiotomy can be beneficial for a mother in decreasing the risk of a serious perineum injury. The benefit for a foetus can lie in acceleration of the final stage of delivery in the event of acute foetal distress. Many adverse effects are however connected to episiotomy. The morbidity connected to episiotomy can affect physical, mental, and social well-being of women during immediate as well as long-term post-partum periods. Currently, there are no universal standards that would describe and recommend physiotherapy for women following episiotomy during the first days, weeks, and months after a delivery. Care about the wound and the resulti

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📋 Eligibility rules (as published)
Inclusion Criteria: * female aged 18 to 40 * following an uncomplicated mediolateral episiotomy * primipara at term with the cephalic occiput anterior position of the foetus * signature of the informed consent and understanding of the study protocol Exclusion Criteria: * premature birth prior to 37+0 * other presentation than the cephalic occiput anterior position * a performed vaginal extraction * an associated vaginal rupture * an injury of the anal sphincter * paravaginal haematoma immediately after birth and before inclusion in the study * multiple sclerosis * serious neurological disorders * connective tissue diseases * chronic inflammatory bowel diseases * congenital developmental disorders of the external genitalia
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What it tests

  • Physiotherapy
  • Urogynaecology
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Where

1 site
University Hospital
Brno, Czechia
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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