Improving Safe Vaginal Deliveries Using Evidence-based Practices at a Semi-urban Hospital in Dhaka, Bangladesh
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 2,475
- 试验地点
- 1
- 主要终点
- Caesarean section rate
研究概览
简要总结
The objective of this study was to assess whether a package of 11 evidence-based maternity practices, combined with routine monitoring and Robson Classification, could reduce C-section rates in a semi-urban hospital in Dhaka, Bangladesh.
Our intervention targeted the key drivers of unnecessary caesarean section at CWCH: weak labour monitoring, low use of evidence-based induction/vaginal birth after caesarean (VBAC) criteria, limited consultant oversight of C-section indications, and insufficient antenatal counselling.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •- Admitted into the maternity and labour ward of AWCH for delivery.
排除标准
- •Unable to provide consent
- •Age is less than 18 years
- •Refused to participate in the study
研究组 & 干预措施
Pre-intervention Baseline Phase
Participants recruited before implementation of the intervention to compare against participants that will receive the intervention
Post-intervention Endline Phase
Participants recruited after implementation of the intervention to compare against participants that did not receive the intervention
干预措施: Package of 11 evidence-based maternity practices combined with Robson TGCS Classification (Other)
结局指标
主要结局
Caesarean section rate
时间窗: 70 weeks
Proportion of caesarean sections among total deliveries
次要结局
- Absolute and non-absolute indications for caesarean sections(70 weeks)
- Robson classification for all deliveries(70 weeks)
- Absolute CS rate by Robson Classification(70 weeks)
- Relative CS rate by Robson Classification(70 weeks)
研究者
Anjuman Ara
Professor, Department of OBGYN
Ashulia Women and Children Hospital