Vaginal DeliveryNCT07537842
Comparison of Finnish and Viennese Techniques for Perineal Protection in Women During the Second Stage of Labor
A study testing Finnish Manual Perineal Protection Technique and Viennese Manual Perineal Protection in people with Vaginal Delivery and Perineal Tear Resulting From Childbirth, run by Nishtar Medical University at 1 site in Pakistan.
Trial summary
The goal of this clinical trial is to find out which method of protecting the perineum during childbirth works better in reducing tears in first-time mothers. The study will compare two commonly used techniques-Finnish and Viennese manual perineal protection-during the second stage of labor. Read more about this study
- Who is it for?
- Ages 20 to 35 years, women only
- Conditions the study is for
- Vaginal Delivery, Perineal Tear Resulting From Childbirth
- What is being tested?
- Finnish Manual Perineal Protection Technique and Viennese Manual Perineal Protection
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 sitePakistan
- Study dates
- 28 Aug 2025to 2 Mar 2026
- Phase
- Interventional
- 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 20 to 35 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Full-term (37 - 42 weeks, assessed through LMP)
- Singleton pregnancy (assessed on antenatal scan)
- Primigravida
- In active labor
Who cannot join
- Fetal presentation other than cephalic (confirmed on USG)
- Patients converted to cesarean delivery
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparison of Finnish Versus Viennese Technique for Manual Perineal Protection in the 2nd Stage of Labor
The goal of this clinical trial is to find out which method of protecting the perineum during childbirth works better in reducing tears in first-time mothers. The study will compare two commonly used techniques-Finnish and Viennese manual perineal protection-during the second stage of labor. It will also assess whether these techniques are safe and practical to use.
The main questions it aims to answer are:
Read more
- Does the Finnish technique reduce the number of perineal tears compared to the Viennese technique?
- Are there any differences in labor outcomes or complications between the two techniques?
Researchers will randomly assign 60 pregnant women (first-time mothers with full-term, single pregnancies) into two groups. One group will receive the Finnish technique, while the other group will receive the Viennese technique during the second stage of labor.
Participants will:
- Be enrolled when they are in active labor and planning a normal vaginal delivery
- Be randomly assigned to one of the two perineal protection techniques
- Have their labor monitored, including the duration of different stages of labor
- Undergo a clinical examination after delivery to check for any perineal tears
A trained obstetrician who is not aware of which technique was used will examine the mother after delivery to ensure unbiased assessment. Any tears identified will be treated according to standard hospital guidelines.
By comparing these two techniques, this study aims to identify the safer and more effective method to reduce perineal injury during childbirth, which may help improve maternal outcomes and quality of care.
- Being tested
- Finnish Manual Perineal Protection Technique, Viennese Manual Perineal Protection
- Keywords
- 1st stage of labor, 2nd stage of labor, Perineal tear, Viennese manual perineal protection (VMPP), Finnish manual perineal protection (FMPP)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Finnish Manual Perineal Protection TechniqueProcedure or surgery
This involves applying pressure with the flexed middle, ring, and little fingers to support the perineum and control delivery of the fetal head. This would reduce perineal stretching and tearing during delivery.
Viennese Manual Perineal ProtectionProcedure or surgery
This technique includes applying ventral pressure with the ulnar part of the palm while supporting the perineum and controlling fetal head extension at crowning.
| Study group | Role | What they receive |
|---|---|---|
| Finnish Manual Perineal Protection | Experimental | Participants in this group will receive manual perineal protection using the Finnish technique during the second stage of labor. Receives: Procedure: Finnish Manual Perineal Protection Technique |
| Viennese Manual Perineal Protection | Active comparator | Participants in this group will receive manual perineal protection using the Viennese technique during the second stage of labor. Receives: Procedure: Viennese Manual Perineal Protection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Perineal Tear
Perineal tear will be assessed by clinical examination after delivery. It is defined as any laceration involving the perineal skin, vaginal mucosa, perineal muscles, anal sphincter, or rectal mucosa. The presence or absence of a tear will be recorded.
Measured: Immediately after delivery (within the third stage of labor)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2026
- Study start28 Aug 2025
- Primary completion2 Mar 2026
- Study completion2 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Vaginal DeliveryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Nishtar Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Saba Rafique, Nishtar Medical University
- Investigators
- Syeda A Professor, FCPS, Study chair, Nishtar Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07537842
- Sponsor's protocol ID
- U1111-1338-9045
- Status last verified
- Apr 2026
- First submitted
- 12 Apr 2026
- Last updated
- 17 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Finnish Versus Viennese Technique for Manual Perineal Protection in the 2nd Stage of Labor
- ClinicalTrials.gov ID
- NCT07537842
- Acronym / sponsor ID
- U1111-1338-9045
- Keywords
- 1st stage of labor, 2nd stage of labor, Perineal tear, Viennese manual perineal protection (VMPP), Finnish manual perineal protection (FMPP)
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Nishtar Medical UniversityUniversity, hospital or other
- Study start
- 28 Aug 2025 (actual)
- Primary completion
- 2 Mar 2026 (actual)
- Study completion
- 2 Mar 2026 (actual)
- First posted
- 17 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to find out which method of protecting the perineum during childbirth works better in reducing tears in first-time mothers. The study will compare two commonly used techniques-Finnish and Viennese manual perineal protection-during the second stage of labor. It will also assess whether these techniques are safe and practical to use.
The main questions it aims to answer are:
- Does the Finnish technique reduce the number of perineal tears compared to the Viennese technique?
- Are there any differences in labor outcomes or complications between the two techniques?
Researchers will randomly assign 60 pregnant women (first-time mothers with full-term, single pregnancies) into two groups. One group will receive the Finnish technique, while the other group will receive the Viennese technique during the second stage of labor.
Participants will:
- Be enrolled when they are in active labor and planning a normal vaginal delivery
- Be randomly assigned to one of the two perineal protection techniques
- Have their labor monitored, including the duration of different stages of labor
- Undergo a clinical examination after delivery to check for any perineal tears
A trained obstetrician who is not aware of which technique was used will examine the mother after delivery to ensure unbiased assessment. Any tears identified will be treated according to standard hospital guidelines.
By comparing these two techniques, this study aims to identify the safer and more effective method to reduce perineal injury during childbirth, which may help improve maternal outcomes and quality of care.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Finnish Manual Perineal Protection | Experimental | Procedure: Finnish Manual Perineal Protection TechniqueParticipants in this group will receive manual perineal protection using the Finnish technique during the second stage of labor. |
| Viennese Manual Perineal Protection | Active comparator | Procedure: Viennese Manual Perineal ProtectionParticipants in this group will receive manual perineal protection using the Viennese technique during the second stage of labor. |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Full-term (37 - 42 weeks, assessed through LMP)
- Singleton pregnancy (assessed on antenatal scan)
- Primigravida
- In active labor
Key exclusion criteria (2 listed)
- Fetal presentation other than cephalic (confirmed on USG)
- Patients converted to cesarean delivery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Finnish Manual Perineal Protection TechniqueThis involves applying pressure with the flexed middle, ring, and little fingers to support the perineum and control delivery of the fetal head. This would reduce perineal stretching and tearing during delivery. | Procedure or surgery | Finnish Manual Perineal Protection |
| Viennese Manual Perineal ProtectionThis technique includes applying ventral pressure with the ulnar part of the palm while supporting the perineum and controlling fetal head extension at crowning. | Procedure or surgery | Viennese Manual Perineal Protection |
Primary outcome
Perineal Tear
Time frame: Immediately after delivery (within the third stage of labor)
Perineal tear will be assessed by clinical examination after delivery. It is defined as any laceration involving the perineal skin, vaginal mucosa, perineal muscles, anal sphincter, or rectal mucosa. The presence or absence of a tear will be recorded.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Apr 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Syeda A Professor, FCPS study chair
Nishtar Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Finnish Manual Perineal Protection Technique and Viennese Manual Perineal Protection in people with Vaginal Delivery and Perineal Tear Resulting From Childbirth, run by Nishtar Medical University at 1 site in Pakistan.
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 4 inclusion and 2 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: finished, as of the sponsor's last update on 17 Apr 2026. 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 Pakistan. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Perineal Tear (time frame: Immediately after delivery (within the third stage of labor)). 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 17 Apr 2026.