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Childbirth Acquired Perineal Trauma study (CHAPTER): a UK prospective cohort study protocol
Victoria Hodgetts Morton1,2, Rebecca Man3, Rita Perry2
1Birmingham Women's Hospital, Birmingham, UK.
BMJ Open
|May 28, 2024
Summary
This study investigates long-term health issues following childbirth-related perineal trauma (CRPT). It aims to identify risks and improve care for women experiencing these common birth complications.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Perinatal Research
Background:
- Childbirth-related perineal trauma (CRPT) affects 80% of women after vaginal birth.
- Current evidence on CRPT outcomes is limited to short-term effects, with less known about long-term complications.
- Longer-term outcomes like infection, pelvic floor dysfunction, and psychological effects require further investigation.
Purpose of the Study:
- To assess the prevalence and types of complications following CRPT.
- To identify women at higher risk for adverse outcomes after CRPT.
- To inform targeted resource allocation and improve postpartum care for women with CRPT.
Main Methods:
- A multicentre, prospective UK cohort study involving 1000 women followed for 12 months postpartum.
- Primary outcome: perineal infection at 6 weeks. Secondary outcomes include incontinence, psychological symptoms, and sexual function.
- Data collected via clinical notes review and patient questionnaires at 6 weeks, 6 months, and 12 months postpartum.
Main Results:
- This section is not applicable for a protocol study. Results will be available upon study completion.
Conclusions:
- This study protocol outlines a comprehensive approach to understanding the long-term consequences of CRPT.
- Findings are expected to highlight key risk factors and inform clinical practice improvements.
- The Childbirth Acquired Perineal Trauma (CHAPTER) cohort study aims to enhance maternal care following childbirth injuries.
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