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CTRI Number  CTRI/2020/09/027738 [Registered on: 10/09/2020] Trial Registered Prospectively
Last Modified On: 30/03/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Other 
Public Title of Study   Birth Companionship During Labor 
Scientific Title of Study   Birth Companionship During Labor: A Quality Improvement Study In A Tertiary Care Center Of Uttarakhand 
Trial Acronym  BICOL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Madhulika Singh 
Designation  Junior Resident 
Affiliation  AIIMS 
Address  C/O DR LATIKA CHAWLA, ASSISTANT PROFESSOR, DEPARTMENT OF AIIMS RISHIKESH, VEERBHADRA ROAD, RISHIKESH, DEHRADUN, UTTARAKHAND

Dehradun
UTTARANCHAL
249203
India 
Phone  7579887727  
Fax    
Email  drmadhulikamksingh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Madhulika Singh 
Designation  Junior Resident 
Affiliation  AIIMS 
Address  C/O DR LATIKA CHAWLA, ASSISTANT PROFESSOR, DEPARTMENT OF AIIMS RISHIKESH, VEERBHADRA ROAD, RISHIKESH, DEHRADUN, UTTARAKHAND
AIIMS Rishikesh, Dehradun, Uttarakhand
Dehradun
UTTARANCHAL
249203
India 
Phone  7579887727  
Fax    
Email  drmadhulikamksingh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Latika Chawla 
Designation  Assistant Professor 
Affiliation  AIIMS 
Address  Department of Obstetrics & Gynecology, AIIMS, Rishikesh, Dehradun, Uttarakhand

Dehradun
UTTARANCHAL
249203
India 
Phone  9013074659  
Fax    
Email  latika.c@rediffmail.com  
 
Source of Monetary or Material Support  
AIIMS RISHIKESH 
 
Primary Sponsor  
Name  AIIMS RISHIKESH 
Address  AIIMS RISHIKESH, VEERBHADRA ROAD, RISHIKESH, DEHRADUN, UTTARAKHAND 
Type of Sponsor  Government medical college 
 
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 
Madhulika Singh  AIIMS Rishikesh  Labour room, Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Veerbhardra road, Rishikesh, Dehradun, Uttarakhand
Dehradun
UTTARANCHAL 
7579887727

drmadhulikamksingh@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 
Patients  (1) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No control group  This is a Quality Improvement study. We are aiming at 90% Birth Companionship during labor & childbirth. 
Intervention  Presence of Birth Companion  Birth Companion will be allowed to accompany Laboring women & during delivery 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Antenatal patients delivering vaginally in labour room of Department of Obstetrics and Gynaecology, AIIMS Rishikesh.
2.Antenatal patients who wish/choose to have a birth companion
3.Patient without any on-going intra-partum or postpartum complication
 
 
ExclusionCriteria 
Details  1.Antenatal patients who do not wish to have a birth companion
2.Antenatal patients undergoing instrumental vaginal delivery / caesarean section
3.Covid-19 positive patients
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Percentage of women accompanied by birth companion during labour   1 1/2 years from the date of Ethical clearance 
 
Secondary Outcome  
Outcome  TimePoints 
To measure pain perception during labour (VAS Score)  1 1/2 years from the date of Ethical clearance 
Duration of second stage of labour (in minutes)  1 1/2 years from the date of Ethical clearance 
Maternal satisfaction during labour (Birth Satisfaction Scale- Revised Indicator [BSS-RI])  1 1/2 years from the date of Ethical clearance 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="345" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/09/2020 
Date of Study Completion (India) 15/02/2022 
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   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
This is a Prospective Quality Improvement Study. This study promotes Respectful Maternity Care.

·  Women delivering in labour room of Department of Obstetrics and Gynaecology, AIIMS, Rishikesh will be included in this study as per inclusion and exclusion criteria. Our objective is to ensure that 90% of all women delivering at our facility had a birth companion by their side during labour and delivery.

This Quality Improvement (QI) study will follow 4 step approaches as given by Point of Care Continuous Quality Improvement (POCCQI) manual by WHO, using the standard tools for quality improvement for data collection and statistical analysis, namely 

Step 1 Identifying the problem, forming a team, aim statement

Step 2 Analysing and measuring quality of care

Step 3 Developing and testing changes

Step 4 Sustaining improvement

 
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