Comparative Study Between Using WHO Labour Care Guide & Modified WHO Partograph

Recruiting

• Conditions: Labor Onset and Length Abnormalities; First Birth; 37 or More Completed Weeks of Gestation

• Registration Number: NCT06537089
• Lead Sponsor: Hend Mahmoud Abdelghany

Brief Summary

This randomized clinical trial is based on comparing the efficiency of modified WHO partographs vs. the new WHO labour care guide in monitoring and assessing the outcome of labour.

Detailed Description

A group of primiparous women in first stage of labour will be randomized into two groups then monitored during first stage of labour. First group will be monitored by modified WHO partograph. The rest of participants will be monitored by WHO labour care Guide. The labour will be monitored regarding progress rate, mode of delivery.

Study Timeline

• Study Start: 2023-12-01
• Study First Submitted: 2024-07-31
• Study First Submitted QC: 2024-07-31
• Status Verified: 2024-08
• Study First Posted: 2024-08-05
• Last Update Submitted: 2024-08-13
• Last Update Posted: 2024-08-14
• Primary Completion: 2024-08-30
• Study Completion: 2024-10-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 230

Inclusion Criteria

• Primiparous women.
• Term gestation between 37 and 40 weeks.
• Maternal age from 18 -35 years
• Body mass index BMI of 18.5 to 29.9 kg/m2
• Cephalic presentation. 6. Active first stage of labour

Exclusion Criteria

• Women with any medical comorbidities, such as (hypertension, diabetes mellitus, renal disease, or pulmonary disease).
• Women with presence of any obstetrical complications, such as preterm birth, multiple gestation, breech presentation, postdated pregnancy, or bad obstetrical history.
• women who were given intrapartum epidural analgesia.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rate of primary caesarean section	First and second stage of labour	number of women will undergo Caesarean section after monitoring, whether by Modified WHO partograph or a labour care Guide

Secondary Outcome Measures

Name	Time	Method
Duration of second stage of labour	Second stage of labour
Duration of active phase of first stage of labour	First stage of labour
need for oxytocin use	First stage of labour

Trial Locations

Locations (1)

kasr Al Aini, Faculty of Medicine, Cairo University; 🇪🇬 Cairo, Old Cairo, Egypt