Hands-on vs Hands-off Techniques in Perineal Protection

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorAzienda ULSS 8 Berica

About this trial

Perineal tears are frequent during vaginal delivery. This study evaluates the impact of hands-on versus hands-off techniques on perineal and neonatal outcomes to determine the most effective protective strategy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Donne incinte nullipare o multipare

Gravidanza a termine

Feto nella presentazione cefalica

Consegna eutocic (spontanea)

Disqualifiers

None

Trial population

Full-term women with spontaneous vaginal birth (SVB)

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

737 Participants
are grouped into 2 trial groups
Group A: Hands-off group
Group B: Hands-on group

Trial outcomes

Primary outcomes

1

Perineal outcomes: intact perineum; first-, second-, third-, and fourth-degree perineal tears

Time frame
Within two hours post-delivery
2

Neonatal outcomes: umbilical cord pH

Time frame
within 5 minutes of delivery
3

Neonatal outcomes: Apgar score

Apgar score ≥ 7 at 5 minutes.

Time frame
within 5 minutes of birth

Secondary outcomes

1

Parity

Time frame
Baseline
2

Ethnicity

Time frame
Baseline
3

Fetal malpositions during labor

Time frame
Throughout the entire course of labor
4

Maternal positions assumed during the expulsive phase

Time frame
During the full duration of the second stage of labor

Other outcomes

Sponsors and contacts

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