Dehisced Perineal Tear After Vaginal Labour - Conservative Treatment or Resuturing

What this Trial Is About

This research aims to better understand the short- and long-term outcomes for women who experience an uncomplicated healing process or wound dehiscence after a second-degree perineal tear or episiotomy following vaginal childbirth. The study compares conservative management and secondary suturing for treating perineal wound dehiscence, addressing the current lack of clear treatment recommendations. Investigators seek to enroll 300 women divided into three groups based on their healing status and treatment approach. Participants include women with normal healing, those with dehisced wounds treated with secondary resuturing, and those with dehisced wounds managed conservatively. Standard care is followed, with the study adding two extra clinical examinations and questionnaires. Clinical exams and photographs of the perineal healing process occur at one month and again between nine to twelve months after birth, while questionnaires are completed at one, three, and nine to twelve months postpartum. Women will undergo gynecological exams and have photos taken to document healing. They will also complete questionnaires assessing body image, pain, urinary and anal incontinence, sexual health, breastfeeding impact, and psychological well-being at specified intervals. Researchers will monitor wound healing, infection rates, readmissions, pelvic floor function, and other outcomes during follow-up. The study duration covers assessments up to 12 months after childbirth to track healing and related health effects.

Conservative Treatment or Resuturing Among Women With Perineal Wound Dehiscence After Vaginal Labour