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The RECOVER Study - Postpartum Recovery of Pelvic Floor Structures and the Impact of Early Rehabilitation

RecruitingNAAges 18 Years - anyFemaleVastra Gotaland Region
NCT07430865 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The goal of this observational study with an embedded pilot clinical trial is to learn how the pelvic floor recovers after vaginal childbirth and whether early individualized pelvic floor muscle training can improve recovery in people who experience pelvic floor symptoms after vaginal delivery. The main questions it aims to answer are: * How do pelvic floor muscles and surrounding tissues change and recover during the first year after vaginal childbirth? * How are these structural changes and their recovery related to urinary, bowel, and vaginal symptoms? * In participants with pelvic floor symptoms after vaginal childbirth, does early individualized pelvic floor muscle training improve symptoms and support structural recovery compared with usual care? Researchers will compare participants who receive the early pelvic floor muscle training to those receiving standard postpartum care to

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📋 Eligibility rules (as published)
Inclusion Criteria: * Individuals (over 18 years) who delivered a single child vaginally between 37 and 41 weeks of gestation, with a birthweight of at least 2500 grams. Exclusion Criteria: * Delivered via c-section * Multiparous with previous third- or fourth-degree tears * History of major urogynecological surgery * Known neurological disorder (e.g., stroke, multiple sclerosis) that could affect the assessment outcomes * Severe connective tissue disorders that could affect the assessment outcomes * New pregnancy of more than 6 weeks during the study period * Pain with vaginal penetration, tampon use, or gynecological examinations that would prevent participation in assessments * Visible signs for wound complications assessed via REEDA tool (redness, oedema, ecchymosis, discharge, approximation) will exclude the participants from the first ultrasound assessment and vaginal palpation.
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What it tests

  • Early individualized pelvic floor muscle training (PFMT)
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Where

2 sites
Sahlgrenska hospital, Östra
Gothenburg, Sweden
University of Gothenburg
Gothenburg, Sweden
🤝 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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