Actively Recruiting
Referral Pathways and Care Provision for Patients with Incontinence Following Obstetric Anal Sphincter Injury Within Five Years of Vaginal Delivery
Led by London North West Healthcare NHS Trust · Updated on 2025-05-25
112
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to understand the care pathways currently available for women who develop incontinence related to obstetric anal sphincter injuries (OASI) after vaginal delivery. OASI includes severe perineal tears that affect the muscles controlling bowel function and can lead to distressing symptoms like fecal and urinary incontinence. Because many affected women may not openly share their symptoms, it is important to identify if adequate follow-up and care are provided to support them and prevent long-term complications. The study focuses on women who have sustained grade 3 or 4 perineal tears during childbirth and are experiencing symptoms of anal or fecal incontinence within five years of delivery. Additionally, the study involves obstetricians and urogynaecologists who care for these patients in the UK. Participants will be asked about their experiences and perceptions of the care they have received, and healthcare providers will share their views on the care pathways and multidisciplinary team involvement. Participants will provide feedback on the quality of follow-up care over a 12-month period using interviews and surveys. The study collects detailed accounts of symptoms and quality of life impacts from women, while also assessing healthcare providers' perspectives on care provision. This information will help understand gaps and improvements needed in managing OASI-associated incontinence and ensuring supportive care is accessible and effective.
CONDITIONS
Brief Title
CArE for OAsI Study: Care Pathways and Anorectal Evaluation for OASI Associated Incontinence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Women aged 18 to 50 years who have developed incontinence related to obstetric anal sphincter injury after a vaginal delivery in the past five years
- Referred or not yet referred to specialist perineal clinics
- Ability to understand, read English, and provide informed consent
- Primiparous or multiparous women
You will not qualify if you...
- Women unable to consent or with severe mental illness as determined by screening clinician
- Women who do not speak, read, or understand English
- Those with incontinence caused by non-obstetric trauma
- Post-menopausal women with late-onset symptoms related to previous injuries
- Women already referred directly from maternity units with established referral pathways
- Obstetric trainees or gynecologists not routinely caring for OASI patients
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 12 months
Participants who have sustained obstetric anal sphincter injuries and are symptomatic of incontinence are observed to assess their experiences and the quality of care they receive over time.
Assessments throughout the 12 months; visit frequency may vary
Trial Site Locations
Total: 1 location
1
London Northwest Healthcare NHS Trust
London, United Kingdom, NW10 7NS
Actively Recruiting
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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