Pelvic Floor Exercises for Suboptimal Anorectal Manometry
ConditionObstetric Anal Sphincter Injury
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorKing's College Hospital NHS Trust
About this trial
Currently, guidelines from the Royal College of Obstetricians and Gynaecologists stipulate that all women who have sustained an obstetric anal sphincter injury in a previous pregnancy and who are symptomatic or have abnormal endoanal ultrasonography and/ or manometry should be counselled regarding the option of an elective Caesarean section. An abnormal endoanal ultrasonography is currently considered to be a defect of the external anal sphincter (EAS) of more than 30 degrees while an abnormal anorectal manometry would be an incremental squeeze pressure of less than 20mmHg.
This study aims to evaluate if a course of guided pelvic floor exercises could improve anal sphincter function on those with suboptimal or abnormal anal incremental squeeze pressures, and subsequently expand their options for future modes of delivery (vaginal delivery not contraindicated)
Eligibility criteria
Qualifiers
Are at least 6 weeks postpartum
Has not received any form of guided pelvic floor exercises by a licensed women's health physiotherapist postpartum
Either able to speak, read and write in English, or has a professional interpreter present at the time of appointment.
Capable of understanding and signing the informed consent form after full discussion of the investigations and its risks and benefits.
Disqualifiers
Inclusion Criteria
Are at least 6 weeks postpartum
Has not received any form of guided pelvic floor exercises by a licensed women's health physiotherapist postpartum
Either able to speak, read and write in English, or has a professional interpreter present at the time of appointment.
Trial design
Treatments tested in this trial
- Supervised pelvic floor muscle exercises
Treatment groups
50 Participants
are divided into 1 treatment groupSponsors and collaborators
Source ClinicalTrials.gov