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COMPLETED
NCT07713173
NA

Ritgen Maneuver and Birth-Related Perineal Trauma: RCT

Sponsor: Medipol University

View on ClinicalTrials.gov

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

Interventions

OTHER

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

OTHER

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)