#Hands on vs hands off trial

Rising maternal morbidity and mortality rates, widening healthcare disparities, and increasing focus on cardiometabolic risk modification in at-risk patients have together catalyzed a shift in the postpartum care paradigm. Accurate diagnosis and repair of obstetric anal sphincter injuries: why and how.

Hands-on versus hands-off techniques for the prevention of perineal trauma during vaginal delivery: a systematic review and meta-analysis of randomized controlled trials. Pierce-Williams RAM, Saccone G, Berghella V. In summary, in nulliparous women with singleton pregnancies at term, hands-off technique reduces the rate of perineal lacerations REFERENCES

#Hands on vs hands off trial

In our trial hands-off technique was associated with a trend for benefits for most of the outcomes. This randomized clinical trial showed that in nulliparous women with singleton pregnancies at term, hands-off technique resulted in a statistically significant lower rate of perineal lacerations. All women were nulliparous, singleton gestations, with spontaneous labor at term, and DISCUSSION Table 1 shows the baseline demographic and clinical characteristics for each group. 35 women were randomized in the intervention group, and 35 women were randomized in the control group. No patients were lost to follow up for the primary outcome, and no data were missing. All participants in the trial provided written informed consent.Д®ligible women were nulliparous women with singleton pregnancies and vertex presentation admitted in labor and delivery Trial populationДuring the study period, 70 women agree to take part in the study, underwent randomization, and were enrolled and followed up (Figure 1). The trial was approved by the local ethics committee. This was a singler center open-label parallel group randomized clinical trial of women with singleton pregnancies and spontaneous labor at term, conducted from May 2021, to December 2021 in one center in Italy (University of Naples Federico II, Naples, Italy).

Morbidity is mainly related to third or fourth degree lacerations (3), with both short- and long-term consequences including fistula formation, fecal incontinence, fecal urgency, chronic perineal pain, and dyspareunia (4).Дifferent techniques have been studies to reduce the risk of perineal lacerations at the time of vaginal Study design and participants Perineal trauma at the time of vaginal delivery is common, and may be associated with severe morbidity, including incontinence, pelvic pain, and sexual dysfunction (1,2).