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Trial registered on ANZCTR
Registration number
ACTRN12618001297213
Ethics application status
Approved
Date submitted
30/07/2018
Date registered
1/08/2018
Date last updated
1/08/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The incidence of diastasis recti abdominis after cesarean section - cohort study
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Scientific title
The incidence of diastasis recti abdominis after cesarean section - cohort study
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Secondary ID [1]
295665
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
diastasis recti abdominis
309008
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Condition category
Condition code
Reproductive Health and Childbirth
307904
307904
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
12
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Target follow-up type
Months
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Description of intervention(s) / exposure
Patients will be given a test of diastasis recti abdominis (DRA) 3rd postpartal day, after 6 weeks, 6 months and 12 months after delivery. The patients will mark the pain place on the body chart.
The patients will be tested in a standardised supine crock-lying position with instruction to perform an abdominal crunch till the shoulderblades were off the bed.The interrectus distance will be palpated using finger widths, just above umbilicus, 4.5 cm above and 4.5 cm below the umbilicus. DRA will be diagnosed as present if the palpated separation at any of the 3 mentioned locations along the linea alba will be <2 finger widths. The test will be performed by physiotherapists and it will take 5 minutes.
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Intervention code [1]
301981
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Diastasis recti abdominis by diastasis recti abdominis test
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Assessment method [1]
306879
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Timepoint [1]
306879
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3 rd postpartal day (primary endpoint), after 6 weeks, 6 months and 12 months after delivery
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Secondary outcome [1]
350014
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Diastasis recti abdominis in primiparas and multiparas by diastasis recti abdominis test
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Assessment method [1]
350014
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Timepoint [1]
350014
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3rd postpartal day, after 6 weeks, 6 months and 12 months after delivery
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Secondary outcome [2]
350088
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Pain marked by body chart
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Assessment method [2]
350088
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Timepoint [2]
350088
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3 rd postpartal day,6 weeks, 6 months and 12 months after delivery
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Eligibility
Key inclusion criteria
Primiparas, multiparas, cesarean section
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Minimum age
20
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
vaginal birth, previous lumbopelvic pain, operation in lumbopelvic or abdominal area
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
For the incidence of diastasis recti abdominis after cesarean section it will be used calculate the frequency. To determine the significance of the conection in frequencies would be used chi aquared test. The corelation between the pain and diastasis recti abdominis will be determinated to Pearson's correlation coefficient. In interpreting the results statistically significant would be the value of P <0.05.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/09/2018
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Actual
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Date of last participant enrolment
Anticipated
27/09/2020
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Actual
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Date of last data collection
Anticipated
27/09/2021
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Actual
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Sample size
Target
700
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
10687
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Croatia
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State/province [1]
10687
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Zagreb
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Funding & Sponsors
Funding source category [1]
300245
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Self funded/Unfunded
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Name [1]
300245
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Manuela Filipec
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Address [1]
300245
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Clinical hospital "Sveti Duh"
Department of Physical Medicine and Rehabilitation
Sveti Duh 64
10000 Zagreb
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Country [1]
300245
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Croatia
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Primary sponsor type
Individual
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Name
Manuela Filipec
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Address
Clinical hospital "Sveti Duh"
Department of Physical Medicine and Rehabilitation
Sveti Duh 64
10000 Zagreb
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Country
Croatia
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Secondary sponsor category [1]
299665
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None
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Name [1]
299665
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None
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Address [1]
299665
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None
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Country [1]
299665
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301068
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Ethic Committee of Clinical hospital "Sveti Duh"
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Ethics committee address [1]
301068
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Clinical hospital "Sveti Duh" Sveti Duh 64 10000 Zagreb
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Ethics committee country [1]
301068
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Croatia
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Date submitted for ethics approval [1]
301068
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28/06/2018
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Approval date [1]
301068
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19/07/2018
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Ethics approval number [1]
301068
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011-11147
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Summary
Brief summary
Diastasis recti abdominis (DRA) is defined as a separation of the two muscle bellies of rectus abdominis. Etiology of DRA is unknown, but the following causes are assumed: a constant mechanical load on the abdominal wall due to fetal growth resulting in stretching and weakness of abdominal muscles, then hormonal and consequent changes in the functional capacity of abdominal muscles during pregnancy which after birth contribute to the development of DRA. It often results in difficulties in daily activities that require increased intraabdominal pressure (eg defect, urination, vomiting, etc.). DRA may change posture and give more back strain due to reduced strength and function, leading to low back pain while larger separations can result to the hernia in the abdominal wall.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
85770
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Dr Manuela Filipec
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Address
85770
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Clinical hospital "Sveti Duh"
Department of Physical Medicine and Rehabilitation
Sveti Duh 64
10000 Zagreb
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Country
85770
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Croatia
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Phone
85770
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+385913712561
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Fax
85770
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+38513712206
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Email
85770
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[email protected]
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Contact person for public queries
Name
85771
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Manuela Filipec
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Address
85771
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Clinical hospital "Sveti Duh"
Department of Physical Medicine and Rehabilitation
Sveti Duh 64
10000 Zagreb
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Country
85771
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Croatia
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Phone
85771
0
+385913712561
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Fax
85771
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+38513712206
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Email
85771
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[email protected]
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Contact person for scientific queries
Name
85772
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Manuela Filipec
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Address
85772
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Clinical hospital "Sveti Duh"
Department of Physical Medicine and Rehabilitation
Sveti Duh 64
10000 Zagreb
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Country
85772
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Croatia
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Phone
85772
0
+385913712561
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Fax
85772
0
+38513712206
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Email
85772
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF