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Trial registered on ANZCTR
Registration number
ACTRN12607000557437
Ethics application status
Date submitted
23/10/2007
Date registered
30/10/2007
Date last updated
19/01/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Cooling for perineal pain relief after childbirth: randomised trial
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Scientific title
Randomised controlled trial of two local cooling regimes for relieving pain from perineal trauma sustained during childbirth
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Secondary ID [1]
288364
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Nil known
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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:
Perineal pain
2495
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Condition category
Condition code
Other
2592
2592
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0
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Systematic use of Rest, Ice, Compression and Elevation (R.I.C.E.). This involves resting horizantally at times, instead of sitting up all the time; applying ice to the perineum for 20 minutes every 2-3 hours for 2-3 days; and wearing well fitting clothes (underwear).
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Intervention code [1]
2223
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Treatment: Other
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Intervention code [2]
2244
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Treatment: Other
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Comparator / control treatment
Control = Standard care: ad hoc application of ice packs to the perineum. This is usually for 20 minutes every 2-3 hours for 2-3 days.
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Control group
Active
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Outcomes
Primary outcome [1]
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Women's self-reported perineal pain
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Assessment method [1]
3504
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Timepoint [1]
3504
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Within 24 hours of giving birth
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Secondary outcome [1]
5852
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Pain
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Assessment method [1]
5852
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Timepoint [1]
5852
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Within four to six hours;
within 24 hours (see primary);
between 24 and 72 hours;
between 3 and 5 days;
between 6 and 14 days;
six weeks and six months
AFTER GIVING BIRTH
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Secondary outcome [2]
5853
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Numerous other secondary outcomes related to perineal oedema, bruising, maternal exhausion, use of additional analgesia. Contact investigators for full list.
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Assessment method [2]
5853
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Timepoint [2]
5853
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Within four to six hours; within 24 hours (see primary); between 24 and 72 hours; between 3 and 5 days; between 6 and 14 days; six weeks and six months AFTER GIVING BIRTH
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Eligibility
Key inclusion criteria
Women having a vaginal birth who are willing and able to give informed consent and sustained perineal trauma (episiotomy / tear) or labial tears during childbirth
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Contraindications to cooling treatments (eg peripheral neuropathy); Third or fourth degree perineal tear.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Following informed consent and within the first two hours after giving birth, women will be randomly allocated to one of the two treatment groups using consecutively numbered sealed, opaque envolopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A researcher not otherwise involved in the study will generate the sequence using block randomisation (1:1 control:intervention), stratified for number of children born (vaginally), mode of birth and degree of perineal trauma.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Women and clinicians will be unblinded to treatment allocation. A researcher assessing perineal oedema and bruising will be blinded to group allocation.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
1/01/2008
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Actual
6/10/2008
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Date of last participant enrolment
Anticipated
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Actual
10/02/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
880
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
305
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3053
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Funding & Sponsors
Funding source category [1]
2744
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Self funded/Unfunded
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Name [1]
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Funding being sought from the Royal Women's Hospital Foundation and the Nurses' Board of Victoria.
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Address [1]
2744
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Country [1]
2744
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Primary sponsor type
Hospital
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Name
Royal Women's Hospital
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Address
132 Grattan St
Carlton VIC 3053
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Country
Australia
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Secondary sponsor category [1]
2479
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None
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Name [1]
2479
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Address [1]
2479
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Country [1]
2479
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Ethics approval
Ethics application status
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Ethics committee name [1]
4662
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Royal Women's Hospital HREC, Melbourne
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Ethics committee address [1]
4662
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Ethics committee country [1]
4662
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Date submitted for ethics approval [1]
4662
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31/10/2007
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Approval date [1]
4662
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27/06/2008
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Ethics approval number [1]
4662
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TBA
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Summary
Brief summary
Perineal tears or cuts are common with childbirth and are often painful. Women are often advised to use ice packs to help relieve the pain, although there is very little evidence that this is effective. This trial will compare pain relief using two regimes of applying ice to the perineum. One group of women will have an ice pack applied to the perineum after giving birth, then replace it occasionally. The other group will have ice packs held firmly in place and be advised to rest and elevate the region. The results will enable a more evidence-based approach to care than is currently available.
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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
28140
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Prof Christine
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Address
28140
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Dept Obstetrics and Gynaecology University of Melbourne / Royal Women's Hospital
Parkville VIC
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Country
28140
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Australia
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Phone
28140
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+61 3 83453700
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Fax
28140
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Email
28140
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[email protected]
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Contact person for public queries
Name
11297
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Christine East
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Address
11297
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Dept Obstetrics and Gynaecology University of Melbourne / Royal Women's Hospital
Parkville VIC
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Country
11297
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Australia
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Phone
11297
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+61 3 8345 3700
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Fax
11297
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Email
11297
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[email protected]
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Contact person for scientific queries
Name
2225
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Christine East
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Address
2225
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Country
2225
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Australia
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Phone
2225
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+61 3 83453700
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Fax
2225
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Email
2225
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[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.
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