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The goal of this clinical trial is to find out which method of protecting the perineum during childbirth works better in reducing tears in first-time mothers. The study will compare two commonly used techniques-Finnish and Viennese manual perineal protection-during the second stage of labor. It will also assess whether these techniques are safe and practical to use.
The main questions it aims to answer are:
Researchers will randomly assign 60 pregnant women (first-time mothers with full-term, single pregnancies) into two groups. One group will receive the Finnish technique, while the other group will receive the Viennese technique during the second stage of labor.
Participants will:
A trained obstetrician who is not aware of which technique was used will examine the mother after delivery to ensure unbiased assessment. Any tears identified will be treated according to standard hospital guidelines.
By comparing these two techniques, this study aims to identify the safer and more effective method to reduce perineal injury during childbirth, which may help improve maternal outcomes and quality of care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Finnish Manual Perineal Protection | Experimental | Participants in this group will receive manual perineal protection using the Finnish technique during the second stage of labor. |
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| Viennese Manual Perineal Protection | Active Comparator | Participants in this group will receive manual perineal protection using the Viennese technique during the second stage of labor. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Finnish Manual Perineal Protection Technique | Procedure | This involves applying pressure with the flexed middle, ring, and little fingers to support the perineum and control delivery of the fetal head. This would reduce perineal stretching and tearing during delivery. |
| Measure | Description | Time Frame |
|---|---|---|
| Perineal Tear | Perineal tear will be assessed by clinical examination after delivery. It is defined as any laceration involving the perineal skin, vaginal mucosa, perineal muscles, anal sphincter, or rectal mucosa. The presence or absence of a tear will be recorded. | Immediately after delivery (within the third stage of labor) |
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| Measure | Description | Time Frame |
|---|---|---|
| Duration of First Stage of Labor | The first stage of labor is defined as the time from active labor (cervical dilation of 3-4 cm) to full cervical dilation (10 cm). Duration will be recorded in minutes. | During labor (from onset of active labor to full cervical dilation) |
| Duration of Second Stage of Labor |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Syeda A Professor, FCPS | Nishtar Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nishtar Medical University | Multan | Punjab Province | 60000 | Pakistan |
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| Viennese Manual Perineal Protection | Procedure | This technique includes applying ventral pressure with the ulnar part of the palm while supporting the perineum and controlling fetal head extension at crowning. |
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The second stage of labor is defined as the time from full cervical dilation to delivery of the baby. Duration will be recorded in minutes. |
| During labor (from full dilation to delivery) |