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Ritgen Maneuver and Birth-Related Perineal Trauma: RCT
Sponsor: Medipol University
Summary
Perineal trauma is one of the common complications that may occur during the second stage of labor and can negatively affect women's postpartum recovery and quality of life. The Ritgen maneuver is a hands-on perineal protection technique performed during fetal head delivery to control the birth of the fetal head and potentially reduce perineal injury. However, evidence regarding its effectiveness remains inconsistent. This randomized controlled trial aims to evaluate the effect of the Ritgen maneuver on perineal trauma during the second stage of labor. Pregnant women admitted for vaginal birth will be randomly assigned to either the Ritgen maneuver group or the standard care group. The incidence and degree of perineal trauma, episiotomy, and related maternal outcomes will be compared between groups. The findings of this study are expected to contribute to the evidence base regarding perineal protection techniques during vaginal birth and support the development of clinical practices aimed at reducing birth-related perineal trauma
Official title: The Effect of the Ritgen Maneuver on Perineal Trauma During the Second Stage of Labor: A Randomized Controlled Trial
Key Details
Gender
FEMALE
Age Range
20 Years - Any
Study Type
INTERVENTIONAL
Enrollment
122
Start Date
2025-09-09
Completion Date
2026-05-26
Last Updated
2026-07-20
Healthy Volunteers
Yes
Conditions
Interventions
Ritgen maneuver
The Ritgen maneuver was performed during crowning and delivery of the fetal head. One hand was used to control the fetal head while the other supported the perineum to facilitate controlled birth and potentially reduce perineal injury
Routine Care Group
Standard management of the second stage of labor according to institutional practice without application of the Ritgen maneuver.
Locations (1)
Esenler Maternity and Pediatric Hospital
Istanbul, Turkey (Türkiye)