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CTRI Number  CTRI/2025/04/085421 [Registered on: 23/04/2025] Trial Registered Prospectively
Last Modified On: 21/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Labour Outcomes using two different standard guidelines for labour monitoring 
Scientific Title of Study   Labour Outcomes in WHO Modified Partogram and Labour Care Guide in a Tertiary Care Hospital in South 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  Madhu Swetha Sharma 
Designation  Assistant Professor 
Affiliation  St John’s Medical College Hospital 
Address  St John’s Medical college hospital Sarjapur Road Koramangala

Bangalore
KARNATAKA
560034
India 
Phone  7001995865  
Fax    
Email  madhuswethasharma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Madhu Swetha Sharma 
Designation  Assistant Professor 
Affiliation  St John’s Medical College Hospital 
Address  St John’s medical college hospital Sarjapur Road Koramangala Bangalore

Bangalore
KARNATAKA
560034
India 
Phone  7001995865  
Fax    
Email  madhuswethasharma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Madhu Swetha Sharma 
Designation  Assistant Professor 
Affiliation  St John’s Medical College Hospital 
Address  St John’s medical college hospital Sarjapur Road Koramangala Bangalore

Bangalore
KARNATAKA
560038
India 
Phone  7001995865  
Fax    
Email  madhuswethasharma@gmail.com  
 
Source of Monetary or Material Support  
St John’s medical college hospital Sarjapur Road Koramangala Bangalore 560034 
 
Primary Sponsor  
Name  St Johns Medical college hospital  
Address  St John’s medical college hospital Sarjapur Road Koramangala Bangalore 560034 
Type of Sponsor  Research institution and hospital 
 
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 Madhu Swetha Sharma  Department of Obstetrics and Gynecology, 1st floor labour ward, St John’s medical college hospital  Sarjapur Road Bangalore 560034
Bangalore
KARNATAKA 
7001995865

madhuswethasharma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Pregnant women 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Labour care guide   In the intervention group we will use the labour care guide to monitor active phase of labour and identify poor labour progress and manage according to the guideline 
Comparator Agent  Modified WHO partogram  In the control group we will monitor labour according to the standardised modified WHO partogram and manage the patient according to the guideline. This is what we are doing currently as part of the hospital protocol 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Singleton pregnancy
More than 34 weeks of gestation 
 
ExclusionCriteria 
Details  Multiple pregnancy
Previous caesarean delivery
Non cephalic presentation
Medical comorbidities
Contracted pelvis
Estimated weight more than 4 kg 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Dates of Birth or day of the Week 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Mode of delivery  10 hours  
 
Secondary Outcome  
Outcome  TimePoints 
Mode of delivery
Complications in labour 
3 months 
 
Target Sample Size   Total Sample Size="190"
Sample Size from India="190" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   05/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The WHO partogram has been used for many years to assess the progress of labour. WHO introduced the Labour care guide in 2020 to improve labour outcomes with better patient oriented labour monitoring. It follows the principles of respectful maternity care and provides a positive labour experience for the pregnant women. In this study we compare both types of labour monitoring to assess their impact on labour outcomes and Caesarean rates. 
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