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CTRI Number  CTRI/2024/07/071623 [Registered on: 31/07/2024] Trial Registered Prospectively
Last Modified On: 18/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effectiveness of WHO labour care guide and modified partograph in labour outcomes in pregnant mothers. 
Scientific Title of Study   Comparison of WHO labour care guide with modified partograph on labour outcomes at a tertiary centre in North East India- A Randomized control trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Parakh Mittal 
Designation  Post graduate trainee 
Affiliation  Agartala Government medical college and GB hospital 
Address  Department of Obstetrics and Gynecology AGMC and GBPH Kunjaban Agartala

West Tripura
TRIPURA
799006
India 
Phone  7619344285  
Fax    
Email  parakhm03@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  SB Chakrabarti 
Designation  Associate Professor 
Affiliation  Agartala Government medical college and GB hospital 
Address  Department of Obstetrics and Gynecology AGMC and GBPH Kunjaban

West Tripura
TRIPURA
799006
India 
Phone  9436131634  
Fax    
Email  salilbindu64@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Debasis Ray 
Designation  Professor 
Affiliation  Agartala Government medical college and GB hospital 
Address  Department of Pharmacology AGMC and GBPH Kunjaban Agartala

West Tripura
TRIPURA
799006
India 
Phone  9436125100  
Fax    
Email  contactdebasisray@gmail.com  
 
Source of Monetary or Material Support  
Agartala Government medical college AGMC and GBP Hospital kunjaban Agartala pin code-799006 India 
 
Primary Sponsor  
Name  Parakh Mittal 
Address  Department of Obstetrics and Gynecology AGMC and GBPH Kunjaban Agartala 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Parakh Mittal  Agartala Government medical college and GBP Hospital  Department of Obstetrics and Gynecology
West Tripura
TRIPURA 
7619344285

parakhm03@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee for Clinical Studies Ref. No.F.4(6-13)/AGMC/Medical Education/IEC Approval/2022/6995  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery, (2) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery, (3) ICD-10 Condition: O30-O48||Maternal care related to the fetus and amniotic cavity and possible delivery problems, (4) ICD-10 Condition: O30-O48||Maternal care related to the fetus and amniotic cavity and possible delivery problems,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Labour monitoring to be done by WHO Labour care guide  Labour monitoring will be done every half hourly and PV examination will be done 4 hourly from active stage of labour till the delivery  
Comparator Agent  Labour monitoring will be done by WHO Modified partograph  Labour monitoring will be done every half hourly and PV examination will be done 4 hourly from active stage of labour till delivery 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1) Antenatal women with term gestation between 37 and 40 weeks gestation
2) In spontaneous labour
3) Singleton pregnancy
 
 
ExclusionCriteria 
Details  1) Women with any medical comorbidities such as hypertension , diabetes mellitus, renal or pulmonary diseases
2) Women with any obstetrical complication like preterm, multiple gestation, breech , post dated pregnancy or bad obstetrical history
3) Those who were given intrapartum epidural analgesia
4) Any other contraindications of normal vaginal delivery
 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Normal vaginal delivery  Mode of delivery will be assessed after 6-7 hours and APGAR score at 5 minutes after birth 
 
Secondary Outcome  
Outcome  TimePoints 
1) Duration of active phase of labour
2) Duration of hospital stay
3) APGAR score at 5 minutes
4) Proportion of NICU admission 
2-3 Days 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
Final Enrollment numbers achieved (Total)= "240"
Final Enrollment numbers achieved (India)="240" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/08/2024 
Date of Study Completion (India) 14/01/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
This study is regarding comparison of WHO Labour care guide with Modified partograph on labour outcomes. This will be conducted by making two study groups . A sample size of 240 participants will be selected randomly after considering inclusion and exclusion criteria for labour monitoring by either of the two labour monitoring tools. The following outcomes will be analyzed in each group 
Primary outcome- normal vaginal delivery
Secondary outcome- duration of active phase of labour, duration of hospital stay, fetal profile- APGAR score at 5

Dated- 30/01/2025 
Till now 51 participants have been recruited . 26 in study group A and 25 in study group B and no issues have been encountered yet. Hence this interventional study will be continued as it is and will be updated after every 6 months.

Dated- 28/07/2025
Till now 196 participants have been recruited. 96 in study group A and 100 in study group B and no issues have been encountered yet.
Hence this interventional study will be continued as it is and will be updated again soon.

Dated- 12/10/2025
All 240 participants are recruited successfully including both the study groups. Now we shall proceed with analysis and result.

Dated- 14/01/2026
study has been analyzed and result is obtained.
 
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