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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Mrs Sue Tohill
+44 (0)121 414 9106
s.tohill@bham.ac.uk


Dr Victoria Hodgetts-Morton
+44 (0)121 414 9106
v.a.h.morton@bham.ac.uk


Study Location:

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Be Part of Research - Trial Details - The Chapter Cohort Study: Following women for 12 months following tears or cuts after childbirth: How widespread are health problems, and what are these health problems?

The Chapter Cohort Study: Following women for 12 months following tears or cuts after childbirth: How widespread are health problems, and what are these health problems?

Medical Conditions

Childbirth-related perineal trauma


This information is provided directly by researchers and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information.


Each year in the UK, 80% of women who give birth vaginally (450,000 women), experience damage, such as a tear or graze, to the tissues, muscles and skin around the bladder, vagina and perineum (the skin between the vagina and back passage). This is referred to as Childbirth Related Perineal Trauma (CRPT). For most women, these tears are minor and heal quickly. However, some women may experience problems if these tears don’t heal properly. Some of these problems may be short-term, such as infection and discomfort. However, some women may suffer from long-term issues and may find themselves struggling to control their usual bodily functions such as passing urine, wind and stool. These symptoms may impact their overall quality of life and ability to care for their newborn baby and older children. Additionally, dealing with these issues can put a strain on women’s intimate relationships. Some women may feel too embarrassed to seek help about their symptoms or are unaware of how to access support and treatment.

At the moment, we understand some of the risk factors associated with tearing while giving birth vaginally. However, we know very little about how women recover from these tears. We currently do not collect information to tell us how frequent or serious the complications following a tear are. Additionally, we are unaware where women turn to access care and how satisfied they are with the support and advice they receive. This has led to poor understanding about the extent of these issues amongst healthcare professionals and the wider society.

The CHAPTER cohort study aims to learn more about how experiencing a tear through vaginal birth can impact women’s lives and how frequently complications relating to tears occur. This is part of the CHAPTER study, a larger national research programme that is working to improve the care women receive during the healing of their stitches or tear after giving birth vaginally. In order to do this, we intend to recruit 1000 women who have recently given birth and experienced a tear in the cohort study. We will then follow their recovery for the first 12 months after they’ve given birth, collecting information about how they are feeling at various stages throughout the year. We will ask these women to complete a questionnaire at 6 weeks, 6 months and 12 months after giving birth and collect information about their physical, emotional and psychological wellbeing.
The information we gain from this study will help us put forward recommendations for developing care pathways and education resources for healthcare professionals to ultimately optimise the quality of care women receive and hopefully improve the lives of thousands of women across the UK.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Sep 2023 28 Feb 2024

Participants who agree to take part in the CHAPTER cohort study would need to agree to information about their birth and immediate postnatal recovery being collected from their medical notes by the CHAPTER research team, and shared with the Birmingham Centre for Observational and Prospective Studies. They will need to sign a consent form and provide contact details, preferred method of contact, which will be recorded on a contact information form by a member of the hospital team. Following this we will ask participants to complete a questionnaire around 6 weeks after their baby’s birth with one of our researchers, either by telephone, online or post. We will ask participants questions about how they healing and if they have had any complications. There will be 2 further, similar questionnaires at 6 months and 12 months to see how participants are getting on and if there are any ongoing concerns or issues. The questionnaires will ask some sensitive questions such as how participants feel their tear is healing, their ability to control their bowels and bladder. Additionally, they will be asked about how their sexual relationship with their partner may have changed for them and how they are feeling emotionally. Should participants need further support or information at any point while completing these questionnaires, they can contact the CHAPTER study research team and who will be able to direct participants towards sources of support.
Each questionnaire will take approximately 20 minutes to complete. We understand participants are likely to be busy caring for themselves, baby and family. Therefore, if they are not able to complete the questionnaire when they first receive it, they will be sent gentle reminders fortnightly for a month. If they are unable to complete this within the first month, they will be sent a questionnaire by post to the address provided at the start of the study with a pre-paid envelope addressed to the research team enclosed. There are no further hospital visits or examinations required for this study.


Women aged 16 years or older who have sustained childbirth related perineal trauma

You can take part if:



You may not be able to take part if:


Does not meet inclusion criteria


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Birmingham Women's Hospital
    Mindelsohn Way
    Birmingham
    B15 2TG
  • Queen Elizabeth Queen Mother Hospital
    St Peters Road
    Margate
    CT9 4AN
  • Saint Mary's Hospital
    Oxford Road
    Manchester
    M13 9W
  • Russell’s Hall Hospital
    Pensnett Road
    Dudley
    DY1 2HQ
  • The Royal London Hospital
    Whitechapel Rd
    London
    E1 1FR
  • Whipps Cross University Hospital
    Whipps Cross Rd
    London
    E11 1NR
  • Royal Bolton Hospital
    Minerva Road Farnworth
    Bolton
    BL4 0JR
  • Calderdale Royal Hospital
    Salterhebble
    Halifax
    HX3 0PW
  • Addenbrooke’s Hospital
    Hills Road
    Cambridge
    CB2 0QQ
  • West Middlesex University Hospital
    Twickenham Road
    Isleworth
    TW7 6AF
  • Countess of Chester Hospital
    Countess of Chester Health Park Liverpool Road
    Chester
    CH2 1UL
  • Doncaster Royal Infirmary
    Thorne Road
    Doncaster
    DN2 5LT
  • George Eliot Hospital
    College Street
    Nuneaton
    CV10 7DJ
  • Great Western Hospital
    Marlborough Road
    Swindon
    SN3 6BB
  • Homerton University Hospital
    Homerton Row
    London
    E9 6SR
  • King’s College Hospital
    Denmark Hill
    London
    SE5 9RS
  • Kingston Hospital
    Galsworthy Road
    Kingston upon Thames
    KT2 7QB
  • Liverpool Women’s Hospital
    Crown Street
    Liverpool
    L8 7SS
  • Leighton Hospital
    Middlewich Road
    Crewe
    CW1 4QJ
  • Scunthorpe General Hospital
    Cliff Gardens
    Scunthorpe
    DN15 7BH
  • Northumbria Specialist Emergency Care Hospital
    Northumbria Way
    Cramlington
    NE23 6NZ
  • Royal Free Hospital
    Pond St
    London
    NW3 2QG
  • Royal United Hospital Bath
    Combe Park
    Bath
    BA1 3NG
  • Warwick Hospital
    Lakin Road
    Warwick
    CV34 5BW
  • Hillingdon Hospital
    Pield Heath Road
    Uxbridge
    UB8 3NN
  • Poole Hospital
    Longfleet Road
    Poole
    BH15 2JB
  • Derriford Hospital
    Derriford Road
    Plymouth
    PL6 8DH

It is unlikely that taking part in the CHAPTER cohort study will have any direct benefit to participants. However, participants may feel it is important to share their views and experiences in order to help improve the way women who have experienced a tear are cared for in the future. At the moment, this area of women’s health is under-researched. Gaining more knowledge about this issue and running studies like this with women like you may lead to increased awareness about how tears experienced during vaginal birth can impact women’s quality of life following birth and beyond.
We are hoping that this study will give us more knowledge and understanding to develop new and better ways to support women in the future. If we identify from our conversations with participants or from the information that you put on the questionnaire that participants might be suffering from a health problem, a member of the CHAPTER research team would contact them to ensure that they are aware of how to seek appropriate help.
We do not expect there to be any disadvantages or risks to taking part in the CHAPTER cohort study. However, we know that taking part takes time and may be inconvenient.


The study is sponsored by Birmingham Women’s and Children’s NHS Foundation Trust and funded by NIHR Central Commissioning Facility (CCF).




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Read full details for Trial ID: ISRCTN17011317

Or CPMS 56469

Last updated 12 January 2024

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