Implementing and evaluation labor and delivery management program using the world health organization safe childbirth checklist :An Embedded mixed-method study

Comparison of the Effectiveness of management of labor and delivery with using training on evidence-based cares based on the world health organization safe childbirth checklist and routine performance on maternal and neonatal outcomes

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20220501054711N1

Enrollment

944

Registered

2022-05-10

Start date

2022-06-05

Completion date

Unknown

Last updated

2023-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Normal vaginal Delivery Management. Single spontaneous delivery

Interventions

Intervention 1: Intervention group: In intervention groups, the Labor and delivery program management will be based on evidence-based care in accordance with the World Health Organization safe childbi

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: All care providers who are responsible for caring for women who have been admitted for childbirth Pregnant women who have inclusion critria All Pregnant women who have singleton pregnancy and with gestational age 37 weeks or over with any ages, ethnicity, any history of obstetrics and any number of deliveries, who are admitted for vaginal delivery

Exclusion criteria

Exclusion criteria: Reluctance to participate in the trial

Design outcomes

Primary

Measure	Time frame
Mother’s satisfaction of delivery. Timepoint: Before discharging of hospital. Method of measurement: Mackey Childbirth Satisfaction Rating Scale.;Mother’s experience of delivery. Timepoint: 4-6 weeks after delivery. Method of measurement: childbirth experience questionnaire 2/0.;Type of delivery. Timepoint: After of delivery. Method of measurement: Observation and record in check list.	—

Secondary

Measure	Time frame
Apgar score below 7. Timepoint: At 1 and 5 minutes after birth. Method of measurement: Observation and examination.;Frequency of newborn admission to neonatal ward or NICU. Timepoint: After of delivery. Method of measurement: Observation / record in check list.;Shoulder dystocia. Timepoint: During delivery. Method of measurement: Observation and record in check list.;Postpartum hemorrhage. Timepoint: after of delivery. Method of measurement: Increased maternal pulse rate above 110 beats per minute and maternal systolic blood pressure less than 90 mm Hg with vaginal bleeding. Hematocrit will be measured at baseline and then 8 hours after delivery.;Maternal infections. Timepoint: During labor and delivery up to 42 days after delivery. Method of measurement: Sublingual temperature of 39 degrees or more or between 38-39 degrees that persists after 30 minutes Examination/ record in check list.;Frequency of third and fourth-degree perineal lacerations. Timepoint: After of delivery. Method of measurement: Observation and record in check list.;Near miss morbidity. Timepoint: From the time of hospitalization until 42 days after delivery. Method of measurement: Based on cardiovascular, pulmonary, renal, hepatic and uterine dysfunction.	—

Measure

Time frame

Apgar score below 7. Timepoint: At 1 and 5 minutes after birth. Method of measurement: Observation and examination.;Frequency of newborn admission to neonatal ward or NICU. Timepoint: After of delivery. Method of measurement: Observation / record in check list.;Shoulder dystocia. Timepoint: During delivery. Method of measurement: Observation and record in check list.;Postpartum hemorrhage. Timepoint: after of delivery. Method of measurement: Increased maternal pulse rate above 110 beats per minute and maternal systolic blood pressure less than 90 mm Hg with vaginal bleeding. Hematocrit will be measured at baseline and then 8 hours after delivery.;Maternal infections. Timepoint: During labor and delivery up to 42 days after delivery. Method of measurement: Sublingual temperature of 39 degrees or more or between 38-39 degrees that persists after 30 minutes Examination/ record in check list.;Frequency of third and fourth-degree perineal lacerations. Timepoint: After of delivery. Method of measurement: Observation and record in check list.;Near miss morbidity. Timepoint: From the time of hospitalization until 42 days after delivery. Method of measurement: Based on cardiovascular, pulmonary, renal, hepatic and uterine dysfunction.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactAtefeh Kamrani

Ahvaz University of Medical Sciences

atykamrani@yahoo.com+98 61 3336 2414

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026