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CTRI Number  CTRI/2023/05/053172 [Registered on: 26/05/2023] Trial Registered Prospectively
Last Modified On: 25/05/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing WHO Labour Care Guide with WHO Modified Partograph and its effect on reduction of caesarean section rate  
Scientific Title of Study   Comparing WHO Labour Care Guide with WHO Modified Partograph and its effect on reduction of caesarean section rate in an apex healthcare institute: an open-label randomized controlled trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jasmina Begum 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Bhubaneswar 
Address  Department of Obstetrics and Gynaecology,AIIMS Bhubaneswar, Sijua, Patrapada, Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9443392737  
Fax    
Email  jasminaaly@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Jasmina Begum 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Bhubaneswar 
Address  Department of Obstetrics and Gynaecology,AIIMS Bhubaneswar, Sijua, Patrapada, Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9443392737  
Fax    
Email  jasminaaly@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Laveti Sai Sarvazna 
Designation  Post Graduate 
Affiliation  All India Institute of Medical Sciences, Bhubaneswar 
Address  Department of Obstetrics and Gynaecology,AIIMS Bhubaneswar, Sijua, Patrapada, Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9848198680  
Fax    
Email  sslaveti7@gmail.com  
 
Source of Monetary or Material Support  
Not applicable 
 
Primary Sponsor  
Name  AIIMS Bhubanesdwar 
Address  AIIMS Bhubaneswar, Sijua, Patrapada, Bhubaneswar 
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 Jasmina Begum  All India Institute of Medical Sciences, Bhubaneswar  Labour Room, Department of Obstetrics And Gynaecology
Khordha
ORISSA 
09443392737

jasminaaly@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, AIIMS BBSR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z00-Z99||Factors influencing health status and contact with health services,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  WHO Labour Care Guide  The total Duration of the intervention will be 18 hours. As it is a labour monitoring tool. Frequency, route of administration, dose is not applicable.  
Comparator Agent  WHO Modified Partograph  The total duration of the intervention will be 18 hours. As it is a labour monitoring tool. Frequency, route of administration, dose is not applicable. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Nulliparous and multiparous women with singleton pregnancy
with cephalic presentation
with more than or equal to 37 weeks of gestation
in spontaneous labour or induced labour
 
 
ExclusionCriteria 
Details  1) Nulliparous or multiparous pregnant women with previous CS
2) Nulliparous or multiparous women with malpresentations
3) Nulliparous or multiparous women with multiple pregnancies
4) Nulliparous or multiparous women with IUFD
5) Nulliparous or multiparous women with APH
6) Nulliparous or multiparous women with pregnancy less than 37 weeks gestation
7)Pregnant women with mental illness
8) Pregnant women with a fetal anomaly
9) Patient not giving consent for study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Mode of delivery  14 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Fetomaternal outcomes, maternal childbirth satisfaction and physicians satisfaction with Labour Care Guide  6 weeks 
 
Target Sample Size   Total Sample Size="116"
Sample Size from India="116" 
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)   07/06/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  07/06/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The present study aims to compare the WHO Labour Care Guide with the existing WHO Modified Partograph on reducing caesarean section rate in pregnant women and will compare the overall maternal and neonatal outcomes with the existing WHO modified partograph. The study has aimed to determine the health care providers feedback on the difficulty, acceptability, satisfaction and utility levels of the LCG. This study will be the first to compare the maternal childbirth satisfaction rate by using Mackey Childbirth Satisfaction rating scale which is a 34 items questionnaire which measures mother satisfaction with the labour and childbirth experience in both the groups and will assess its relationship with the different stages of labour. 
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