Mediolateral Episiotomy in Nulliparous Women Increases the Risk of Sexual Dysfunction

NCT05533307 | Completed

• 1 other identifier: EOkuyan
• Study Type: observational
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

Postpartum sexual functions may be affected in women who have had a vaginal delivery by performing an episiotomy. The aim of this study is to compare the frequency of sexual dysfunction between women who were delivered with a mediolateral episiotomy and those who were delivered without an episiotomy. Materials and Methods: A total of 179 women who gave birth in a tertiary center were included in the prospective study. The patients were divided into two groups as women with and without mediolateral episiotomy. The groups were compared in terms of age, body mass index, educational status, and hospitalization time for delivery and Arizona sexual experiences scale (ASEX).

Conditions

Episiotomy; Complications

Keywords

sexuel dysfunction; mediolateraş episiotomy

Outcome Measures

Primary Outcomes (1)

• Evaluation of sexuel dysfunction with ASEX(Arizona sexuel fonction scoring)

  In this study, we prospectively evaluated patients in active labor using ASEX and wanted to investigate the effect of mediolateral episiotomy on female sexual life. Maximum score of Asex scoring is 24 and minimum score is 0.

  Sexuel dysfuntion scores after 6 months of normal vaginal birth

Study Arms (2)

nulliparous women with normal birth (not needed mediolateral episitomy)/1

group without mediolateral episiotomy

Diagnostic Test: observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth

nulliparous women with normal birth (with mediaolateral episiotomy)/2

group with mediolateral episiotomy

Diagnostic Test: observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth

Interventions

observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth DIAGNOSTIC_TEST

ASEX (ARİZONA SEXUEL FONCTİON SCORİNG) TEST

nulliparous women with normal birth (not needed mediolateral episitomy)/1; nulliparous women with normal birth (with mediaolateral episiotomy)/2

Eligibility Criteria

• Age: 18 Years - 40 Years
• Gender Eligibility Details: nulliparous women with normal vginal birth
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Nulliparous women who gave birth with or without mediolateral episiotomy at Batman training and research hospital will noted individually. After 3 months of birth all included patients will have an ASEX test for sexuel dysfunction analyse.

You may qualify if:

• Nulliparous women who gave birth at term
• No smoking or alcohol consumption
• Chronic illness
• Spontaneous labor( The labor was defined as cervical dilatation of at least 2cm with at least 80% of effacement with regular contractions or 4cm dilatation with any effacement with regular contractions or the flow of amniotic fluid.

You may not qualify if:

• history of any pregnancy complication (gestational diabetes, hypertension, oligohydramnios, any suspicion of infection or chorioamnionitis…etc.),
• history of multiparity,
• history of sexual dysfunction,
• history of vaginal surgery and frequent vaginal infection.

Sponsors & Collaborators

• Batman Training and Research Hospital: lead

Study Sites (1)

Batman Training and Research Hospital

Batman, 72000, Turkey (Türkiye)

Location

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: M.D,Obstetric and gynecology division

Study Record Dates

• First Submitted: September 3, 2022
• First Posted: September 9, 2022
• Study Start: September 10, 2019
• Primary Completion: September 15, 2021
• Study Completion: August 8, 2022
• Last Updated: September 13, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)