The Optimal Angle of Mediolateral Episiotomy at Crowning of the Head During Labor

Wolfson Medical Center (WMC)

Status: Completed

Conditions: Labor, Obstetric; Episiotomy

Treatments: Procedure: change of medilateral angle line during crowning of the head

Study type: Interventional

Funder types: Other

Identifiers

NCT02911779

0181-11-WOMC

Details and patient eligibility

About

In order to determine the optimal angle to perform an episiotomy, the investigators assessed the angle of marked episiotomy lines at the first stage of labor and at the time of crowning of the head.

Incision lines for mediolateral episiotomy were pre-marked on the perineal skin at 30°, 45°, and 60° angles from the midline, at the first stage of labor, in women with singleton pregnancies. The angles of the marked lines were measured again at crowning of the head. Mediolateral episiotomy was performed only for obstetric indications.

Enrollment: 102 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• women during labor above 37 weeks, Occiput presentation

Exclusion criteria

• cesarean section, vacuum or forceps deliver, breech deliver, below 37 weeks

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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102 participants in 1 patient group

change of medilateral angle line

Other group

Description:

change of medilateral angle line during crowning of the head

Treatment:

Procedure: change of medilateral angle line during crowning of the head