Vaginal Birth After Caesarean Section and Levator Ani Avulsion

Charles University, Czech Republic

Status: Completed

Conditions: Birth Injuries

Study type: Observational

Funder types: Other

Identifiers

NCT03420001

10101010

Details and patient eligibility

About

There is no data regarding the risk of levator ani avulsion in women after a vaginal birth after caesarean although a possible increased risk has been suggested. The aim of the study is to describe the incidence of levator ani avulsion and compare it to primiparous women. In addition, health related quality of life will be evaluated and compared

Full description

Levator ani muscle avulsion is a frequent postpartum trauma imposing a considerable risk of pelvic organ prolapse on women in later life. Furthermore, the trauma reduces the effectiveness of pelvic reconstructive surgery and has a detrimental effect of the sexuality of the affected women. The trauma occurs most frequently in the first vaginal delivery with an incidence of 10-30%. However, the risk of levator avulsion in women after vaginal birth after caesarean section (VBAC) is unknown although possible increased risk has been suggested.

The aim of the study is to assess the prevalence of levator ani avulsion among women who delivered vaginally after a caesarean section and make a comparison with a primiparous cohort. The secondary aim is to evaluate and compare the health related quality of life regarding pelvic floor disorders and sexuality.

Enrollment: 469 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• one term vaginal delivery in obstetric history
• agreement with the enrollment

Exclusion criteria

• Women with a history of repeat VBAC or a vaginal delivery prior to the index caesarean section
• women with preterm labor
• epidural analgesia
• multiple pregnancy
• dead or malformed fetus

Trial design

469 participants in 2 patient groups

VBAC

Description:

secundiparous women after one vaginal birth after caesarean section

controls

Description:

women after one vaginal delivery