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This randomized clinical trial is based on comparing the efficiency of modified WHO partographs vs. the new WHO labour care guide in monitoring and assessing the outcome of labour.
A group of primiparous women in first stage of labour will be randomized into two groups then monitored during first stage of labour. First group will be monitored by modified WHO partograph. The rest of participants will be monitored by WHO labour care Guide. The labour will be monitored regarding progress rate, mode of delivery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WHO labour care guide | Active Comparator |
| |
| Modified WHO partograph | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supportive care measures | Other | traditional partograph to properly manage first stage of labor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of primary caesarean section | number of women will undergo Caesarean section after monitoring, whether by Modified WHO partograph or a labour care Guide | First and second stage of labour |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of active phase of first stage of labour | First stage of labour | |
| Duration of second stage of labour | Second stage of labour | |
| need for oxytocin use |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| kasr Al Aini, Faculty of Medicine, Cairo University | Cairo | Old Cairo | 11562 | Egypt |
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| LCG guided labour interference | Other | LCG as a new tool to make proper decision and management of first stage of labour |
|
| First stage of labour |