Labor Onset and Length Abnormalities, 37 or More Completed Weeks of Gestation, First Birth
Conditions
Keywords
labour Monitoring, primiparous
Brief summary
This randomized clinical trial is based on comparing the efficiency of modified WHO partographs vs. the new WHO labour care guide in monitoring and assessing the outcome of labour.
Detailed description
A group of primiparous women in first stage of labour will be randomized into two groups then monitored during first stage of labour. First group will be monitored by modified WHO partograph. The rest of participants will be monitored by WHO labour care Guide. The labour will be monitored regarding progress rate, mode of delivery.
Interventions
traditional partograph to properly manage first stage of labor
OTHERLCG guided labour interference
LCG as a new tool to make proper decision and management of first stage of labour
Sponsors
Hend Mahmoud Abdelghany
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Primiparous women. * Term gestation between 37 and 40 weeks. * Maternal age from 18 -35 years * Body mass index BMI of 18.5 to 29.9 kg/m2 * Cephalic presentation. 6. Active first stage of labour
Exclusion criteria
* Women with any medical comorbidities, such as (hypertension, diabetes mellitus, renal disease, or pulmonary disease). * Women with presence of any obstetrical complications, such as preterm birth, multiple gestation, breech presentation, postdated pregnancy, or bad obstetrical history. * women who were given intrapartum epidural analgesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of primary caesarean section | First and second stage of labour | number of women will undergo Caesarean section after monitoring, whether by Modified WHO partograph or a labour care Guide |
Secondary
| Measure | Time frame |
|---|---|
| Duration of active phase of first stage of labour | First stage of labour |
| Duration of second stage of labour | Second stage of labour |
| need for oxytocin use | First stage of labour |
Countries
Egypt
Outcome results
None listed