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Obstetric Anal Sphincter InjuryNCT07646340

Long-term Pelvic Floor and Sexual Health After Obstetric Anal Sphincter Injury in Finland

An observational study of Obstetric Anal Sphincter Injury and Sexual Dysfunction and the Mode of Deliveries, run by Tampere University Hospital at 1 site in Finland.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record

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Trial summary

The goal of this observational study is to understand long-term pelvic floor symptoms and sexual dysfunction after childbirth-related anal sphincter injury in women who gave birth at Tampere University Hospital between 2009 and 2021. Read more about this study

Who is it for?
Ages 18 years and older, women only
How many people
600 participants
Where
1 siteFinland
Study dates
9 Oct 2026to 31 Jul 2028
How long will I take part?
5 Years
Phase
Observational

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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population consists of individuals who gave birth at Tampere University Hospital (Tays) between 2009 and 2021 and whose delivery was complicated by an anal sphincter injury (n = 580).

Who may be able to join

  • Obstetric anal sphincter injury in Tampere University Hospital during 2009-2021

Who cannot join

  • -

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Finland1 site
  • Tampere University Hospital

    Tampere

Other trials in Finland

About this study

The goal of this observational study is to understand long-term pelvic floor symptoms and sexual dysfunction after childbirth-related anal sphincter injury in women who gave birth at Tampere University Hospital between 2009 and 2021. The main questions it aims to answer are:

How common are long-term pelvic floor symptoms and sexual dysfunction after sphincter injury? What factors are associated with an increased risk of long-term symptoms?

Read more

Additionally, the study explores whether sphincter injury affects desired family size and satisfaction with the mode of delivery in a subsequent pregnancy.

Participants will:

  • Receive an information letter, consent form, and questionnaires by mail. They can respond via mail or complete them electronically via a secure online service
  • Complete questionnaires on pelvic floor symptoms (PFDI-20), sexual function (PISQ-12), and preferences regarding childbirth and family size
  • Allow researchers to use their medical record data related to pregnancy, childbirth, postpartum period, and newborn outcomes for research purposes
Keywords
obstetric anal sphincter injury, sexual dysfunction, vaginal delivery, pelvic floor symptoms
Medical subject headings
Sexual Dysfunction, Physiological, Pelvic Floor Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07646340
Study groupRoleWhat they receive
No subsequent deliveriesNo pregnancies ending in delivery after obstetric anal sphincter injury
Subsequent cesarean deliveryOnly cesarean delivery/deliveries after obstetric anal sphincter injury
Subsequent vaginal deliveryVaginal delivery/deliveries after obstetric anal sphincter injury

What is being measured

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

  1. Pelvic floor symptoms

    Pelvic floor symptoms described in the short form of PFDI-20 (Pelvic floor distress inventory) questionnaire. The questionnaire consists of 20 items, each of which is scored from 0 to 4 points. The items are presented in domains describing different pelvic floor symptoms: those associated with pelvic organ prolapse, those associated with defecation, and urinary symptoms. Higher score indicates more distress associated with the symptom. In this study, individual items, domain scores and overall score are compared between the study groups.

    Measured: 5-26 years after the delivery complicated by OASI

  2. Sexual dysfunction

    Sexual dysfunction symptoms described in the PISQ-12 (Pelvic organ prolapse/urinary incontinense sexual questionnaire). This instrument includes 12 items that are scored on a scale from 1 to 5, higher score indicating higher sexual function. In this study, each item score as well as total score will be compared between the groups.

    Measured: 5-26 years after the delivery complicated by OASI

Secondary outcomes (1)
  1. Satisfaction regarding the choice of mode of delivery in subsequent delivery

    Satisfaction assessed with a numerical rating scale (1 to 10)

    Measured: 5-26 years after the delivery complicated by OASI

Timeline

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

  1. First posted12 Jun 2026
  2. Study start9 Oct 2026 (estimated)
  3. Primary completion31 Jul 2027 (estimated)
  4. Study completion31 Jul 2028 (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
600 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT07646340
Sponsor's protocol ID
R26016
Status last verified
May 2026
First submitted
28 May 2026
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Finnish legislation prohibits sharing individual participant data.

Publications

  • Ristila E, Palomaki O, Huhtala H, Toivonen E. Mode of delivery and maternal outcome in subsequent delivery after an obstetric anal sphincter injury: a Finnish retrospective cohort study. BMC Pregnancy Childbirth. 2025 Jul 19;25(1):773. doi: 10.1186/s12884-025-07882-9.

    PubMed 40684100

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