Childbirth Experience, Outcome, Adverse Birth
Conditions
Keywords
Labour outcome, Childbirth experience
Brief summary
This study compared the labour outcomes and childbirth experience between Zhang and WHO partograph.
Detailed description
A prospective cross-sectional observational study that compared the cervical os dilatation i.e 4 and 6 cm upon admission to the labour room. Eligible patients were recruited during postnatal period in the ward before discharged home. The details of clinical characteristics and labour outcomes were collected. Patients then answered the CEQ-My questionnaire form that assess their childbirth experiences. The primary outcome measure was caesarean section rate and the secondary outcome measure was the childbirth experience.
Interventions
None listed
Sponsors
National University of Malaysia
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* cervical dilatation 4 or 6 cm * singleton * cephalic presentation * at 37 weeks or more * normal cardiotocograph tracing on admission * understands Malay or English * no uterine scar * no pre-existing medical disorders * no antenatal complications such as diabetes or hypertension
Exclusion criteria
* multiple pregnancy * none cephalic presentation * abnormal admission cardiotocograph tracing * less than 37 weeks gestation * refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caesarean section rate | from cervical dilatation of 4 or 6 cm through study completion up to delivery of the foetus | Rate of delivery via caesarean section in percentage |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Childbirth experience | from Day 1 throughout study completion, an average of 7 days after delivery | Assessment of experience during delivery using questionnaire based on based on total childbirth experience questionnaire score using Likert scale from 1 to 4. Score of 4 is a total agreement and score of 1 is total disagreement. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Duration of hospital stay | From predelivery throughout study completion, an average of 5 days | Duration from admission until discharge either 3 days or less or more than 3 days |
| Use of analgesia | From cervical dilatation of 4 or 6 cm until delivery of fetus | Number of patients needed analgesia in percentage |
| Apgar score at 5 minutes | From delivery of neonate until 5 minutes after delivery | Neonatal Apgar score less than 7 at 5 minutes after delivery based on the Apgar score with 0 the lowest and 10 the highest |
| Admission into neonatal care intensive unit | From birth of the neonate until throughout study completion, an average of 7 days after birth | Number of neonates needed to be admitted into neonatal care intensive unit |
| Oxytocin use | From cervical dilatation of 4 or 6 cm until delivery of fetus | Number of women who needed oxytocin infusion |
Countries
Malaysia
Outcome results
None listed