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CTRI Number  CTRI/2026/03/105411 [Registered on: 05/03/2026] Trial Registered Prospectively
Last Modified On: 04/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Empowered Decision making on Maternal Autonomy , Satisfaction and Neonatal Wellbeing]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to see whether decision-making support during labor helps mothers make their own choices, improves their satisfaction and newborn wellbeing at IMS and SUM Hospital, Bhubaneswar 
Scientific Title of Study   A study to assess the effect of empowered decision making during intrapartum care on maternal autonomy satisfaction and neonatal wellbeing among antenatal mothers at IMS and SUM Hospital of Bhubaneswar Odisha 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pearl Sett 
Designation  MSc. Nursing  
Affiliation  SUM NURSING COLLEGE 
Address  SUM Nursing College Department Of Obstetrics and Gynaecological Nursing Siksha o Anusandhan University Kalinganagar Bhubaneswar

Khordha
ORISSA
751003
India 
Phone  7044145600  
Fax    
Email  pearlsett@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mrs. Debajani Nayak 
Designation  Associate Professor  
Affiliation  SUM NURSING COLLEGE 
Address  SUM Nursing College Department Of Obstetrics and Gynaecological Nursing Siksha o Anusandhan University Kalinganagar Bhubaneswar

Khordha
ORISSA
751003
India 
Phone  8895656977  
Fax    
Email  debjaninayak@soa.ac.in  
 
Details of Contact Person
Public Query
 
Name  Pearl Sett 
Designation  MSc. Nursing  
Affiliation  SUM NURSING COLLEGE 
Address  SUM Nursing College Department Of Obstetrics and Gynaecological Nursing Siksha o Anusandhan University Kalinganagar Bhubaneswar

Khordha
ORISSA
751003
India 
Phone  7044145600  
Fax    
Email  pearlsett@gmail.com  
 
Source of Monetary or Material Support  
IMS and SUM Hospital Siksha o Anusandhan Deemed to be University Kalinganagar Bhubaneswar Odisha India Pin 751003 
 
Primary Sponsor  
Name  PEARL SETT 
Address  SUM Nursing College Department Of Obstetrics and Gynaecological Nursing Siksha o Anusandhan University Kalinganagar Bhubaneswar 
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 
Pearl Sett  IMS AND SUM HOSPITAL  Department of Obstetrics and Gynaecological Nursing Labour Room Obstetrics Unit IMS & SUM Hospital Siksha O Anusandhan University Kalinga Nagar Bhubaneswar Odisha 751003 India
Khordha
ORISSA 
7044145600

pearlsett@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE, INSTITUTE OF MEDICAL SCIENCES (IMS) AND SUM HOSPITAL   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Pregnant antenatal Mother 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Empowered Decision Making Intervention   The intervention consisted of providing empowered decision making support during intrapartum care This included educating mothers about available options encouraging them to participate actively in decisions regarding their labor and delivery process and ensuring respectful maternity care practices No drugs devices or invasive procedures were used as part of the intervention The intervention will be delivered in three stages An antenatal education session at 36 40 weeks of pregnancy lasting approximately 20 minutes reinforcement at admission during early labor lasting about 10 minutes and a post test assessment 24 48 hours after delivery lasting approximately 15 minutes 
Comparator Agent  Routine standard antenatal and intrapartum care   Participants in the control group will receive routine standard antenatal and intrapartum care as per hospital protocol This includes regular antenatal checkups routine counselling monitoring during labor standard nursing and obstetric management and usual postnatal care No structured empowered decision making education sessions or reinforcement will be provided to this group Participants in the control group will receive routine standard antenatal and intrapartum care as per the hospital protocol at IMS and SUM Hospital Bhubaneswar This includes routine antenatal checkups standard counselling monitoring of maternal and fetal condition routine nursing and obstetric management during labor and delivery and usual postnatal care No structured empowered decision making education or reinforcement sessions will be provided to the control group Each routine antenatal consultation generally lasts approximately 10 15 minutes depending on the clinical condition of the mother 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Pregnant women aged 18 35 years
Women at term gestation 36 40 weeks
Women who are willing to participate
Able to communicate and provide informed consent
Women who will attend the antenatal clinic in IMS and SUM Hospital and will deliver the baby in IMS and SUM Hospital.  
 
ExclusionCriteria 
Details  High-risk pregnancies such as preeclampsia gestational diabetes placenta previa
Intrauterine fetal demise or known fetal anomalies
Women requiring emergency obstetric intervention upon admission
Inability to understand the language used for counseling and communication
Women who are unable to attend three intervention
Mothers who are psychologically unstable 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Empowered decision making during intrapartum care improves maternal autonomy satisfaction and neonatal well being  Empowered decision making during intrapartum care maternal autonomy satisfaction and neonatal well being will be assessed 24 to 48 hours after delivery 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="106"
Sample Size from India="106" 
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   N/A 
Date of First Enrollment (India)   02/04/2026 
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="1"
Months="0"
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   This randomized controlled trial aims to assess the effect of empowered decision making during intrapartum care on maternal autonomy, maternal satisfaction, and neonatal wellbeing among antenatal mothers at IMS and SUM Hospital, Bhubaneswar, Odisha. A total of 106 eligible pregnant women aged 18 to 35 years will be selected and randomly allocated into experimental and control groups using lottery method simple randomization. The experimental group will receive empowered decision making support during intrapartum care, including information sharing, encouragement of participation in care decisions, and respectful maternity practices. The control group will receive routine standard intrapartum care. Maternal autonomy and maternal satisfaction will be assessed using structured questionnaires after delivery, and neonatal wellbeing will be assessed using Apgar scores. The study aims to evaluate whether empowered decision making improves maternal experience and neonatal outcomes. 
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