Home
Search
Study Topics
Glossary
|
|
|
|
|
|
Sponsored by: |
University of Michigan |
---|---|
Information provided by: | University of Michigan |
ClinicalTrials.gov Identifier: | NCT00506116 |
The purpose of this study is to determine whether pushing during labor that is controlled by the woman results in less birth-related injury and less postpartum urinary incontinence (UI).
Condition | Intervention | Phase |
---|---|---|
Urinary Incontinence Pelvic Organ Prolapse Perinatal Laceration Second Stage Labor |
Behavioral: Videotape, routine care, PME instruction Behavioral: PME practice and record keeping (in diaries) Behavioral: Non-directed or directed,spontaneous or sustained pushing Procedure: Data collection |
Phase III |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Single Blind, Active Control, Factorial Assignment, Efficacy Study |
Official Title: | Promoting Effective Recovery From Labor Urinary Incontinence: Prevention Reducing Birthing Risk |
Enrollment: | 140 |
Study Start Date: | July 1996 |
Study Completion Date: | December 2006 |
Birth related urinary incontinence (UI) is a predictor of UI in older women. Ways to protect the continence mechanism during delivery may diminish a woman's risk of UI later in life. We propose to study the functional anatomy of the pelvic floor as it relates to UI in women who are having their first baby. We hypothesize non-directed, spontaneous pushing is a protective strategy in decreasing the risk of immediate and long term UI. Longitudinal comparisons of pelvic floor characteristics will be taken at 35 week gestation and 6 weeks, 6 months, and 12 months postpartum. Study participants will be seen first at 20 weeks gestation for documentation of baseline levels of pelvic floor function, specifically voluntary and involuntary muscle strength, urinary continence status, and urethral support. They will be randomly assigned into non-directed, spontaneous (experimental) and directed, sustained pushing (control) groups. Alterations that may occur in urethral support before and after birth will be described through non-invasive urethral ultrasound.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Women giving birth for the first time who are:
Exclusion Criteria:
United States, Michigan | |
University of Michigan Health System | |
Ann Arbor, Michigan, United States, 48109 |
Principal Investigator: | Carolyn M Sampselle, PhD,RNC,FAAN | University of Michgan School of Nursing |
Study ID Numbers: | R01NR4007-9 |
Study First Received: | July 23, 2007 |
Last Updated: | July 30, 2007 |
ClinicalTrials.gov Identifier: | NCT00506116 |
Health Authority: | United States: Institutional Review Board |
Pelvic floor muscle training Self-directed pushing Antenatal perineal massage |
Lacerations Pathological Conditions, Anatomical Urination Disorders Gastrointestinal Diseases Wounds and Injuries Disorders of Environmental Origin Intestinal Diseases |
Prolapse Rectal Diseases Signs and Symptoms Digestive System Diseases Urologic Diseases Urinary Incontinence Rectal Prolapse |
Urological Manifestations |