Midwife showdown: Hands-On vs Hands-Off for safer births
NCT ID NCT07492940
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two techniques midwives use during childbirth to protect the perineum from tearing: hands-on (actively supporting the area) and hands-off (letting the birth progress without touch). Researchers will track 737 women giving birth vaginally to see which method leads to fewer tears and better outcomes for both mother and baby. The goal is to identify the safest approach for routine practice.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help midwives choose the best technique to reduce perineal tears during childbirth.
- What could go wrong
- This is an observational study, not a treatment trial. Results may not apply to all births or settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 737 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Full-term women with spontaneous vaginal birth (SVB)
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Criteri di inclusione: * Donne incinte nullipare o multipare * Gravidanza a termine * Feto nella presentazione cefalica * Consegna eutocic (spontanea) * Uso di ossitocina * Uso di analgesici Criteri di esclusione: * Parto prematuro: prematuro tardivo -Disagio fetale acuto durante la fase di espulsione- * Consegna della gretta * Distocia della spalla * Parto chirurgico (uso del vuoto ostetrico, manovra di Kristeller, taglio cesareo) --Episiotomia
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ospedale San Bortolo
RECRUITINGVicenza, Vicenza, 36100, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A shot of your own blood may heal birth tears faster
- Simple hand technique during birth may cut perineal tears
- Labor drug may prevent birth injuries in new moms
- Nursing care bundle cuts birth trauma in First-Time moms
- Can your pelvic muscles predict your delivery?