Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: WHO Labour Care Guide, Partogram.
- Who it may be relevant to
- Registry conditions: Labour. Basic parameters: 18 years — 45 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
After taking informed consent for participation in the study, all selected cases will be divided into two groups by lottery method. In group A, patients will receive care using WHO Labour Care Guide while in group B, patients will be monitored using WHO partograph.
Detailed description
After approval from ethical review committee, total 174 women presenting in the inpatient Department of Obstetrics \& Gynaecology, Pak Emirates Military Hospital, Rawalpindi, fulfilling the inclusion criteria will be selected. Informed consent will be taken from each woman. Age, gestational age, parity, height, weight and BMI will be noted. After taking informed consent for participation in the study, all selected cases will be divided into two groups by lottery method. In group A, patients will receive care using WHO Labour Care Guide while in group B, patients will be monitored using WHO partograph. Cesarean section will be noted in both groups. This all data including demographic data will be recorded on a specially designed proforma
Interventions
- Other WHO Labour Care Guide
Labour will be monitored using WHO Labour care guide - Other Partogram
Labour will be monitored using partogram
Primary outcome measures
- Frequency of Cesarean Section [Time frame: 24 hours]
Eligibility criteria
Inclusion criteria
All pregnant women in active phase of labour (>5cm cervical dilatation) and gestational age of 37 weeks to 41 completed weeks (as assessed on LMP).
Previous no caesarean section. Age 18-40 years. Both primiparous and multiparous. Both booked and unbooked.
Exclusion criteria
Women with chronic hypertension (BP >140/90 mmHg on 2 consecutive occasions). Pregnancy induced Hypertension: women with no history of hypertension (blood pressure >140/90 mmHg on 2 consecutive occasions) and diagnosed in pregnancy.
Gestational Diabetes mellitus: women with no history of diabetes mellitus (FBS >110 mg/dl on 2 consecutive occasions) and diagnosed in pregnancy.
Women who had a caesarean section in the latent phase of labour.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07550439 · 21042026