Perineal Repair Trial. Comparing different types of local anaesthetic for perineal repair following childbirth
Local anaesthetic for perineal repair following vaginal delivery: A randomised controlled trial
Royal Women's Hospital
210 participants
Feb 4, 2019
Interventional
Conditions
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.
Eligibility
Inclusion Criteria3
- Singleton pregnancy
- Vaginal delivery
- Second degree vaginal-perineal tear
Exclusion Criteria4
- Epidural for delivery
- Current illicit drug use
- Coagulation disorder for use of anticoagulants
- Major labial tears
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Interventions
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
Locations(1)
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ACTRN12619000056190