AI-Supported Video Education in Episiotomy Care

NCT07453979 | Not Yet Recruiting

• 1 other identifier: Kahramanmaraş Sütçü İmam Ünive
• Study Type: interventional
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

Although the postpartum period is generally considered a positive experience, obstetric interventions such as episiotomy may lead to significant maternal health problems. Episiotomy, a surgical incision performed on the perineum during the second stage of labor, remains widely used despite World Health Organization recommendations to limit its rate. Episiotomy-related complications, including pain, infection, bleeding, and dyspareunia, can negatively affect wound healing, quality of life, and postpartum sexual health. Proper episiotomy wound care and education are therefore essential components of postpartum care. This study aims to evaluate the effect of an artificial intelligence-supported video education on episiotomy wound healing and postpartum sexual quality of life. The findings are expected to contribute to improved postpartum care practices and guide future research in this field.

Conditions

Postpartum Perineal Pain

Keywords

Episiotomy; Postpartum Care; Artificial Intelligence; Wound Healing; Sexual Quality of Life

Outcome Measures

Primary Outcomes (3)

• (REEDA Scale)

  Episiotomy wound healing will be evaluated using the REEDA Scale, which assesses five components: redness, edema, ecchymosis, discharge, and approximation of wound edges.

  Postpartum Day 1, Day 3, Day 5, Day 7, and Day 14

• Episiotomy wound healing score (REEDA Scale)

  Episiotomy wound healing will be assessed using the REEDA Scale, which evaluates five components: redness, edema, ecchymosis, discharge, and approximation of wound edges

  Postpartum day 1, day 3, day 5, day 7, and day 14

• Perineal pain intensity (Visual Analog Scale - VAS)

  Perineal pain intensity will be measured using the Visual Analog Scale (VAS), a 10-cm horizontal line ranging from 0 (no pain) to 10 (worst imaginable pain). Participants will indicate their perceived pain intensity on the scale.

  Postpartum day 1, day 3, day 5, day 7, and day 14

Secondary Outcomes (1)

• Postpartum sexual function and dyspareunia score (Carol Postpartum Sexual Function and Dyspareunia Scale)

  Postpartum 3 months after resumption of vaginal intercourse

Study Arms (2)

INTERVENTION 1

EXPERIMENTAL

Women allocated to the intervention group will receive an AI-assisted video-based educational intervention on episiotomy care in addition to routine postpartum care.

Behavioral: AI-Assisted Episiotomy Care Video Group

Control

OTHER

Routine postpartum care

Other: Control

Interventions

Control OTHER

Women in the control group will receive routine postpartum and episiotomy care provided by midwives before discharge, in accordance with standard hospital practices. No additional educational or AI-assisted video intervention will be provided to this group.

Control

AI-Assisted Episiotomy Care Video Group BEHAVIORAL

Women in the intervention group will receive routine postpartum care and an AI-assisted educational video about effective breastfeeding within the first 30 minutes after birth. The video includes information on the importance of early breastfeeding, correct breastfeeding positions, and techniques to increase milk production.

INTERVENTION 1

Eligibility Criteria

• Age: 18 Years - 35 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• years of age and older,
• No high-risk pregnancy (no systemic disease, no smoking, no postpartum complications),
• Gestational age 37-42 weeks,
• Single vaginal delivery of live birth,
• Mediolateral episiotomy,
• Not taking any medication,
• No other lacerations besides episiotomy (anal sphincter injury, 3rd degree perineal laceration).
• Single vaginal delivery of live birth or single vaginal delivery without episiotomy, age between 18-35 years, sexually active and healthy
• Primiparous pregnant women

You may not qualify if:

• Mothers who have had multiple, stillbirth, or anomalous births,
• Mothers who refuse home visits will be excluded.

Sponsors & Collaborators

• Burdur Mehmet Akif Ersoy University: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant Prof dr

Study Record Dates

• First Submitted: December 19, 2025
• First Posted: March 6, 2026
• Study Start: April 2, 2026
• Primary Completion: May 30, 2026
• Study Completion (Estimated): July 30, 2026
• Last Updated: March 6, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share