Role of WHO Labour Care Guide in Improving Maternal and Fetal Outcomes in Primi and Multigravida in Labour
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 114
- 试验地点
- 1
- 主要终点
- Duration of labour
研究概览
简要总结
The goal of this randomized controlled trial is to compare the effectiveness of WHO labour care guide (LCG) with the WHO modified partogragh in improving the maternal and fetal outcomes among primigravida and multigravida in active labour .the study evaluates whether use of the Labour care guide leads to improved labour monitoring ,timely clinical decision making and better maternal and neonatal outcomes .this study will answer either of the two questions that is
- There is no difference in maternal and fetal outcomes between women monitored with Wo labour care guide (LCG) and those monitored with the Modified Partogragh
- There is a difference in maternal and fetal outcomes between women monitored with the WHO Labour care guide (LCG) and those monitored the modified Partogragh .
详细描述
The WHO labour care guide is newer tool to designed in 2020 to replace the replace the traditional modified partogragh for monitoring labor and to improve the quality of intrapartum care .It focuses on evidence based and respectful maternity care and clinical decision making .This trial will b conducted in a tertiary care hospital (KTH Peshawar ) and will include women in active labor who meet the criteria .
The participant who are eligible will be randomly allocated in to two groups : one will be monitored using the WHO labour Care guide and the other monitored using modified Partogragh .maternal outcomes such as duration of labour ,mode of delivery ,need for labor augmentation and maternal complications will be assessed.Fetal and neonatal outcomes including Apgar score, need for neonatal resuscitation ,need for NICU admission ,and perinatal morbidity will also be assessed..
The study will aim to determine whether the Labour care guide provide superior clinical outcomes compared to the modified partogragh in both primigravida and multigravida women.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Due to the nature of the intervention, blinding of care providers and participants is not feasible.
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •patient aged 20 to 40 years .
- •gestational age 37 to 42 weeks as per LMP.
- •parity UpTo 4
- •singketon pregnancy on ultrasound
- •patient presenating In labor as per operational definitons
排除标准
- •patients with breech presenation
- •pregnant women in whom trial of labor given outside the hospital,
- •women with complications like gestational diabetes,antepartum hemorrhage,severe preeclampsia/eclampsia and medical disorders complicating the pregnancy
- •premature rupture of membranes
研究组 & 干预措施
Group A
Group A will be monitored using the WHO Labour Care Guide (LCG) for Intrapartum assessment and clinical decision-making from the active phase of labour until delivery.
干预措施: Group A (Intervention Arm): Monitoring with WHO Labour Care Guide) (Other)
Group B
group B will be monitored using the WHO Modified Partograph for documentation and assessment of labor progress, maternal condition, and fetal well-being until delivery.
干预措施: Group B (Control Arm): Monitoring with Standard WHO Partograph) (Other)
结局指标
主要结局
Duration of labour
时间窗: From admission in active labour until delivery
Total duration of labour measured from admission in active labour to delivery (in hours)
次要结局
- Neonatal intensive care unit admission (NICU)(Within 24 hours after birth)
- Mode of delivery()At the time of delivery)
- Neonatal condition at birth(At birth and within 5 min after delivery)
- Intrapartum maternal complications(During labour and immediate portpartum period)
研究者
Roshni Mumtaz
Training medical officer(i-e 2nd year resident )
Khyber Teaching Hospital