The Association Between Kristeller Maneuver and Pelvic Floor Trauma After Vaginal Delivery

Bezmialem Vakif University

Status: Completed

Conditions: Avulsion; Labor Complication

Treatments: Procedure: Fundal Pressure

Study type: Observational

Funder types: Other

Identifiers

NCT03752879

BezmialemVU Fundal Pressure

Details and patient eligibility

About

We want to investigate the association between fundal pressure in the second stage and the risk of levator ani muscle (LAM) injury.

Full description

We will recruit women immediately following their first vaginal delivery. Women who underwent Kristeller maneuver will be recruit as cases. For each case, a control (no fundal pressure) will be recruit matched by BMI, second stage duration and birthweight. All women will be invited to undergo a postpartum 3D transperineal ultrasound (TPUS). The main outcome measure will be the presence of LAM avulsion at 3D TPUS. TPUS results will be compared between cases and controls.

Enrollment: 86 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• First delivery
• Term pregnancy (37-41w)

Exclusion criteria

• Instrumental vaginal delivery
• Multifetal pregnancy
• Previous vaginal or cesarean delivery
• Refused consent and uncooperative patient for effective Valsalva maneuver
• Handicap in lithotomy position
• Women without regular and active contractions
• Epidural analgesia

Trial design

86 participants in 2 patient groups

Case (Kristaller Group)

Description:

Group of kristeller maneuver applied in the second stage of labor due to clinical necessity.

Treatment:

Procedure: Fundal Pressure

Control (no Kristaller Group)

Description:

The control group not required to kristeller maneuver