Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Participants with an estimated gestational age of =37 weeks - Participants with =4 cm cervical dilatation at admission
Exclusion criteria
Exclusion criteria: -Participants scheduled for cesarean section (CS) -Participants with multiple pregnancies -Participants with abnormal FHR on admission i.e. absent; FHR160 beats/minutes (BPM)or undetectable -Participants with common pregnancy complications -Participants with precipitous delivery -Participants with =9 cm cervical dilatation at admission.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure was abnormal FHR defined as normal (110 to 160 beats/min (bpm) throughout labor and delivery) or abnormal (absent, 160 beats/min). It was measured at ‘0’, ‘5th’, and 10th minutes of the initial contact with the study participant. The measurement of FHR continued till the woman delivered at an interval of every 30 minutes in the first stage of labor and every 15 minutes during the second stage of labor. The start of FHR auscultation within the first 10 minutes following the uterine quiescence. The report or documentation for the control arm was on the prepared follow-up sheet, where the count would be rounded to the nearest 5 beats per minute increment. Abnormal FHR is reached after at least one confirmed measurement at any point during labor. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes included the Apgar score at first and fifth minutes (abnormal is defined as an Apgar score <7); mode of delivery (Spontaneous vaginal delivery, operative delivery: CS and instrumental delivery); perinatal outcome at birth (i.e., normal, admission to the neonatal unit, or FSB), the outcome at 24-h (i.e., normal, still admitted to the neonatal unit). Obstetric time intervals included: admission to abnormal FHR detection, admission to delivery, from abnormal FHR detection to delivery. | — |
Countries
Ethiopia
Contacts
Associate professor in Internal medicine at Arba Minch University