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Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates

Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07550439
Enrollment
174
Registered
2026-04-24
Start date
2026-05-01
Completion date
2026-12-01
Last updated
2026-04-24

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

Conditions

Labour

Keywords

Labour Care Guide

Brief summary

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

OTHERWHO Labour Care Guide

Labour will be monitored using WHO Labour care guide

Labour will be monitored using partogram

Sponsors

Pak Emirates Military Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

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.

Design outcomes

Primary

MeasureTime frameDescription
Frequency of Cesarean Section24 hoursTo determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.

Contacts

CONTACTDr Sana Murtaza, MBBS
sanamurtaza093@gmail.com+92 333 666188
PRINCIPAL_INVESTIGATORSalma Nisar, MBBS, FCPS

Pak Emirates Military Hospital

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 25, 2026