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Pelvic Floor Muscle WeaknessNCT03506204

The Pelvic Floor Muscle Function in Chinese Primipara, a One-year Cohort Study

An observational study of Pelvic Floor Muscle Weakness and Postpartum, run by Peking Union Medical College Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

It is a prospective cohort study.The primiparas in six geographic regions of China are recruited to observe the natural recovery of pelvic floor muscle. The pelvic floor muscle function is evaluated at 6 weeks,3 months and 12 months after delivery. Read more about this study

Who is it for?
Ages 18 to 50 years, women only
How many people
3,120 participants
Where
1 siteChina
Study dates
10 May 2018to 31 Dec 2020
How long will I take part?
1 Year
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: Six geographic regions of China are needed to be covered, and more than 1-2 hospitals in each area should be included. The primipara are recruited while having their routine follow-up 6 weeks after delivery at the outpatient department in local hospitals.

Who may be able to join

  • Women who give birth for the first time (Including vaginal delivery and cesarean section)
  • Term birth(37-42 weeks)
  • Single birth
  • Aged from 18 to 50
  • Plan to live locally for extended periods of time

Who cannot join

  • A history of incontinence before pregnancy
  • A history of fecal incontinence before pregnancy
  • Pelvic organ prolapse before pregnancy (prolapse out of the hymen )
  • A history of abortion or induced labour over 16 weeks of pregnancy
  • Multiple pregnancy
  • The weight of the newborn is less than 2500g or more than 4000g
Show all 16Show fewer
  • Precipitate labour
  • Operative vaginal delivery(obstetric forceps or vacuum extraction)
  • Laceration of perineum at least level III
  • Request for pelvic floor rehabilitation exercise(patients who have entered the group can not train the pelvic floor muscle)
  • Obesity (BMI before pregnancy over 25, BMI=weight (kg) / height square (m2) )
  • Asthma
  • Long-term abdominal pressure(chronic cough for more than 1 months ,long-term constipation ect.)
  • Diabetes
  • Cotugno's disease
  • A history of pelvic floor surgery in the previous years

Trial locations and contacts

1 site in 1 country.

Zhijing Sun, MD contact

13651314354

sunzhj2001@sina.com

Lan Zhu, MD contact

zhu_julie@vip.sina.com

China1 site, 1 recruiting
  • Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences

    Beijing, Beiing, 100730

    Zhijing Sun, MD, 13651314354, sunzhj2001@sina.com

    Recruiting

Other trials in China

About this study

It is a prospective cohort study.The primiparas in six geographic regions of China are recruited to observe the natural recovery of pelvic floor muscle. The pelvic floor muscle function is evaluated at 6 weeks,3 months and 12 months after delivery.

Read the detailed description

The primiparas in six geographic regions of China are recruited to observe the natural recovery of pelvic floor muscle.Evaluation of pelvic floor function is performed at 6 weeks, 3 months, 12 months after delivery. The modified Oxford Grading Scale and Levator ani testing are used to quantify PFM strength through vaginal palpation. Pelvic floor muscles strength, endurance, repetition,vaginal contraction pressure and the knack test are evaluated using a neuromuscular stimulation therapy system of PHENIX (Company: Vivaltis -Electronic Concept Lignon Innovation, Montpellier, France).

Keywords
Pelvic floor muscle strength, Pelvic floor dysfunction, Postpartum, primipara

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum vaginal contraction pressure

    it is measured by manometry, range(80-150cmH2O). The higher values represent better outcomes.

    Measured: Change from Baseline Maximum Vaginal Contraction Pressure in a year after delivery

Secondary outcomes (7)
  1. Pelvic floor muscle strength

    The modified Oxford Grading Scale is used to quantify PFM strength through vaginal palpation.range(0-5).The higher values represent better outcomes.

    Measured: change from baseline in a year after delivery

  2. Pelvic floor muscle strength(repetition)

    Levator ani testing is used to quantify PFM strength.range(0-5).The higher values represent better outcomes.

    Measured: change from baseline in a year after delivery

  3. Pelvic floor muscle contraction edurance

    muscle contractions maintained for 0 s are defined as grade 0, 1 s as grade I, 2 s as grade II, 3 s as grade III, 4 s as grade IV, and 5 s or longer as grade V. Normal muscles can maintain the contraction for 5 s.range(0-5s).The higher values represent better outcomes.

    Measured: change from baseline in a year after delivery

  4. the knack test

    a voluntary PFM contraction before or during coughing.That the contraction could be performed represents normal.

    Measured: change from baseline in a year after delivery

  5. vaginal rest pressure

    measure when no vaginal contraction by manometry. range(25-50 cmH2O). the lower and the higher values represent abnormal outcomes.

    Measured: change from baseline in a year after delivery

  6. Condition of stress urinary incontinence

    Ingelman-Sundberg classification is used according to the clinical symptoms of urinary incontinence, divided into mild, moderate and severe.

    Measured: change from baseline in a year after delivery

  7. pelvic organ prolapse quantification(POP-Q)

    POP-Q is measured when maximum valsalva.range(0-4). stage 0 represents normal.

    Measured: change from baseline in a year after delivery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2018
  2. Study start10 May 2018
  3. Primary completion31 Dec 2020 (estimated)
  4. Study completion31 Dec 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
3,120 participants (estimated)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT03506204
Sponsor's protocol ID
JS-1549
Status last verified
Apr 2018
First submitted
13 Apr 2018
Last updated
11 May 2018
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Pelvic Floor Muscle Weakness and Postpartum, run by Peking Union Medical College Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 11 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Zhijing Sun, MD (13651314354, sunzhj2001@sina.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum vaginal contraction pressure (time frame: Change from Baseline Maximum Vaginal Contraction Pressure in a year after delivery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2018; AzTrials last refreshed its copy on 31 Oct 2026.

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