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Trial registered on ANZCTR
Registration number
ACTRN12619000056190p
Ethics application status
Not yet submitted
Date submitted
25/10/2018
Date registered
15/01/2019
Date last updated
15/01/2019
Date data sharing statement initially provided
15/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Perineal Repair Trial. Comparing different types of local anaesthetic for perineal repair following childbirth
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Scientific title
Local anaesthetic for perineal repair following vaginal delivery: A randomised controlled trial
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Secondary ID [1]
296419
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N/A
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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:
Second degree vaginal-perineal tears following birth
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Condition category
Condition code
Reproductive Health and Childbirth
308923
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Randomisation of local anaesthetic used for local infiltration prior to repair of second degree vaginal-perineal tears. Local anaesthetic (arm 1, arm 2 or arm 3) will be administered by local subcutaneous infiltration to the vagina and perineum on a once-only basis by the health professional performing the repair (midwife, or obstetric resident / registrar), immediately prior to performing the repair. Vaginal-perineal repair will then be conducted as per institutional protocols.
3 Arms:
Arm 1 - Lignocaine 1% - 20mls
Arm 2 - Ropivacaine 0.75% - 20mls
Arm 3 - Lignocaine 1% with adrenaline 1 in 200,000 - 20mls
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Intervention code [1]
312747
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Treatment: Drugs
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Comparator / control treatment
Lignociane 1% - 20mls
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Control group
Active
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Outcomes
Primary outcome [1]
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Measured blood loss following perineal repair. Following the birth, drapes will be changed prior to commencement of infiltration of local anaesthetic for the perineal repair (as described in the Description of the Intervention field), so fresh drapes are used for the repair. At completion of the repair, drapes will be weighed to allow calculation of blood loss (i.e. total weight minus dry weight of drapes equals blood loss).
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Assessment method [1]
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Timepoint [1]
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Completion of perineal repair
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Secondary outcome [1]
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Pain perception assessed by visual analogue scales
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Assessment method [1]
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Timepoint [1]
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Following perineal repair, at 1 hour, 4 hours and 24 hours
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Secondary outcome [2]
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Total analgesic requirements in first 24 hours following birth.
This will be assessed by chart review conducted by the study coordinator more than 24 hours following perineal repair
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Assessment method [2]
353244
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Timepoint [2]
353244
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24 hours following birth
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Eligibility
Key inclusion criteria
Singleton pregnancy
Vaginal delivery
Second degree vaginal-perineal tear
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Epidural for delivery
Current illicit drug use
Coagulation disorder for use of anticoagulants
Major labial tears
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a computer-generated sequence
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
4/02/2019
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Actual
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Date of last participant enrolment
Anticipated
1/08/2019
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Actual
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Date of last data collection
Anticipated
2/08/2019
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Actual
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Sample size
Target
210
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Women's Hospital
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Address [1]
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Royal Women's Hospital
20 Flemington Rd
Parkville
VIC 3053
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Women's Hospital
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Address
Royal Women's Hospital
20 Flemington Rd
Parkville
VIC 3053
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
300611
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Address [1]
300611
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Country [1]
300611
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
301778
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Royal Women's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Royal Women's Hospital
20 Flemington Rd
Parkville
VIC 3053
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
301778
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31/10/2018
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Approval date [1]
301778
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Ethics approval number [1]
301778
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Summary
Brief summary
A single blinded, randomised controlled trial in women who sustain second degree vaginal tears, to assess whether the use of either Ropivacaine or Lignocaine with Adrenaline infiltration prior to vaginal-perineal repair results in either reduced blood loss or reduced pain compared to standard treatment with lignocaine.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Stephen Cole
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Address
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C/o Royal Women's Hospital
20 Flemington Rd
Parkville
VIC 3053
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Country
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Australia
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Phone
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+61 383452000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
88075
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Dr Stephen Cole
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Address
88075
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C/o Royal Women's Hospital
20 Flemington Rd
Parkville
VIC 3053
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Country
88075
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Australia
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Phone
88075
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+61 383452000
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Fax
88075
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Email
88075
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[email protected]
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Contact person for scientific queries
Name
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Dr Stephen Cole
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Address
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C/o Royal Women's Hospital
20 Flemington Rd
Parkville
VIC 3053
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Country
88076
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Australia
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Phone
88076
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+61 383452000
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Fax
88076
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Email
88076
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Approval and consent has not been sought for sharing of data
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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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