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Trial registered on ANZCTR
Registration number
ACTRN12617001072303
Ethics application status
Approved
Date submitted
21/06/2017
Date registered
24/07/2017
Date last updated
9/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Are women with fistulas from obstructed labour shorter than those who have had a normal delivery?
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Scientific title
Are women with obstetric fistula shorter that those who had a vaginal delivery?
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Secondary ID [1]
292252
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
vaginal fistula
303759
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vaginal delivery
303760
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Condition category
Condition code
Renal and Urogenital
303130
303130
0
0
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Other renal and urogenital disorders
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Reproductive Health and Childbirth
303150
303150
0
0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Obstetric fistula is due to prolonged obstructed labour causing pressure necrosis in the maternal genital tract and surrounding organs, in particular the lower urinary tract and anorectum. Women with fistulas have an abnormal communication between the vagina and urethra/bladder and/or anorectum. These women leak urine continuously and/or faeces through the vagina.
The height measurement is a once of at time of hospital admission. This is routine done on admission for all patients.
Measurement of height in women on admission to hospital - for women to birth suite who had normal deliveries and women attending the hospital with gynaecological conditions and have had normal deliveries.
Measurement of height in women with obstetric fistulas.
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Intervention code [1]
298456
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Not applicable
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Comparator / control treatment
Control group is the women who have had normal vaginal deliveries without obstruction - during data collection period; or women with previous normal deliveries and attending the hospital for other gynaecological conditions.
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Control group
Active
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Outcomes
Primary outcome [1]
302508
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Is height of woman a risk factor for obstructed labour fistula.
Obstructed labour is determined by history given by patient e.g. number of days in labour, stillborn baby and evidenced by maternal injuries such as genitourinary fistula. (most women deliver in villages with no health care professional - so there is no medical records).
Height is measured by the admission nurse on the ward with a stadiometer.
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Assessment method [1]
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Timepoint [1]
302508
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On admission to the hospital ward
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Secondary outcome [1]
336260
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Is height of woman related to perineal tears.
These women deliver in remote villages with not health attendants and so the perineal tears are not sutured at time of delivery. The tears will be evident on examination at time of admission to hospital.
Height is measured on admission to the ward by the nurse using a stadiometer.
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Assessment method [1]
336260
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Timepoint [1]
336260
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On admission to the hospital ward
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Eligibility
Key inclusion criteria
All women who have had a vaginal delivery without obstructed labour - attending the hospital during recruitment period.
All women attending the hospital with an obstetric fistula during recruitment period.
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Minimum age
14
Years
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Maximum age
80
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Women who have not had a vaginal delivery
Women who refuse to participate
Women with cultural/religious beliefs precluding recruitment
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Both
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Statistical methods / analysis
data being analysed
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
16/12/2013
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Date of last participant enrolment
Anticipated
31/12/2018
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Actual
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Date of last data collection
Anticipated
29/03/2019
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Actual
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Sample size
Target
650
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Accrual to date
500
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Final
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Recruitment outside Australia
Country [1]
9007
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Uganda
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State/province [1]
9007
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Kasese
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Funding & Sponsors
Funding source category [1]
296798
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Self funded/Unfunded
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Name [1]
296798
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Address [1]
296798
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Country [1]
296798
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Primary sponsor type
Individual
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Name
Judith Goh AO
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Address
Suite 209
Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate Street QLD 4120
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Country
Australia
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Secondary sponsor category [1]
295784
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None
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Name [1]
295784
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Address [1]
295784
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Country [1]
295784
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Other collaborator category [1]
279609
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Individual
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Name [1]
279609
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Hannah Krause AO
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Address [1]
279609
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Suite 209
Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate Street QLD 4120
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Country [1]
279609
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298033
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Greenslopes Research & Ethics Committee
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Ethics committee address [1]
298033
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Greenslopes Private Hospital Newdegate Street QLD 4120
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Ethics committee country [1]
298033
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Australia
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Date submitted for ethics approval [1]
298033
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25/11/2013
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Approval date [1]
298033
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11/12/2013
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Ethics approval number [1]
298033
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Protocol 13/73
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Summary
Brief summary
Vesico-vaginal fistula secondary to obstructed labour is very prevalent in resource-poor settings where obstetric care is unavailable. In Uganda it is estimated that 2.6% of reproductive age women have symptoms of fistula (Uganda Bureau of Statistics 2002). The identification of risk factors for the development of vesico-vaginal fistula in pregnant women is critical. If a woman could be identified as high risk prior to labour, then her health care workers could initiate appropriate management plans for her labour and potentially avoid the development of a fistula. While previously published studies have documented that short women are at a higher risk of developing vesico-vaginal fistula in labour, these studies have all compared the fistula women who are usually from regional areas, with the average height of women nationwide which is usually obtained from cohorts of city women. These cohorts are likely to have better nutrition and living conditions and may not represent the average height of women living in more regional and remote areas. There are no comparisons of the heights of fistula women with women living in the same regions who have delivered without fistula. This study proposes to measure the heights of women undergoing fistula surgery at Kagando hospital, Uganda, and comparing the heights with women at Kagando hospital and St Paul’s Health Centre who have delivered without fistula. This non-fistula cohort will include women who present for prolapse repair and women who have a normal delivery in the hospital obstetric unit. The heights of all the fistula women and cohort women are measured routinely at the hospital and are readily available without any additional imposition on these women.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
1817
1817
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0
/AnzctrAttachments/373176-Hgt Ethics approval.pdf
(Ethics approval)
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Contacts
Principal investigator
Name
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Prof Judith Goh AO
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Address
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Suite 209
Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate Street QLD 4120
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Country
75762
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Australia
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Phone
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+ 61 7 38479909
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Fax
75762
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+ 61 7 38476433
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Email
75762
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[email protected]
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Contact person for public queries
Name
75763
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Judith Goh AO
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Address
75763
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Suite 209
Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate Street QLD 4120
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Country
75763
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Australia
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Phone
75763
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+ 61 7 38479909
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Fax
75763
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+ 61 7 38476433
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Email
75763
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[email protected]
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Contact person for scientific queries
Name
75764
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Judith Goh AO
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Address
75764
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Suite 209
Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate Street QLD 4120
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Country
75764
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Australia
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Phone
75764
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+ 61 7 38479909
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Fax
75764
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+ 61 7 38476433
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Email
75764
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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