Management of labour progress Pregnancy and Childbirth Labour
Conditions
Interventions
2 or 4 hour partogram
Sponsors
Liverpool Women's Hospital (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Gestational age >37 weeks 2. Primigravidae 3. Spontaneous labour defined as: a. Cervix is either partically or fully effaced and >3 cm dilated b. Regular uterine contractions are present (at least two in ten minutes >30 seconds) 4. Live baby 5. Singleton 6. Cephalic 7. Satisfactory admission cardiotocogram (CTG)
Exclusion criteria
Exclusion criteria: 1. Multigravidae 2. Insulin dependent diabetics 3. Significant fetal malformations 4. Contraindications to use of oxytocin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall caesarean section rate, maternal dissatisfaction (score <15) | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal: duration of labour (randomisation-delivery interval), use of oxytocin for augmentation, postpartum haemorrhage (PPH) (>500 ml), use of analgesia, number of vaginal examinations, vaginal operative delivery rate. Neonatal: Admission to Special Care Baby Unit (SCBU), APGAR scores (Appearance, Pulse, Grimace, Activity, Respiration) <7 at 5 min, neonatal seizures, birth asphyxia (defined as cord pH =7, base excess =12.0 mmo/l) | — |
Countries
United Kingdom
Outcome results
None listed