Emergency Obstetric Care Protocol

February 28, 2026 updated by: Eman Nabil Ibrahim Mohamed, Mansoura University

Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices

This study aims to investigate the effect of applying emergency obstetric care protocol on maternity nurses' practices.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices Obstetrical emergencies are life threatening medical condition that occurs during pregnancy, labor or the postpartum period. Emergency Obstetric Care (EmOC) is categorized as Basic Emergency Obstetric Care (BEmOC) and Comprehensive Emergency Obstetric Care [CEmOC].

Treatments within BEmOC include the administration of parenteral antibiotics, oxytocics and anticonvulsants, manual removal of the placenta, removal of retained products of conception and assisted vaginal delivery. Comprehensive Emergency Obstetric Care (CEmOC) includes all of these plus blood transfusion and cesarean section.

The World Health Organization (WHO), posits the following conditions as obstetrical emergencies, ectopic or tubal pregnancy, abruptio placenta, placenta previa, sever preeclampsia & eclampsia or pregnancy induced hypertension, premature rupture of membranes, amniotic fluid embolism, inversion or rupture of uterus, placenta accreta, prolapsed umbilical cord, shoulder dystocia, postpartum hemorrhage and postpartum infection.

Globally, every year an estimated 287,000 women die of complications during pregnancy or childbirth. There are a variety of obstetrical emergencies of pregnancy that can threaten the well-being of both mother and newborn baby (WHO, 2019). Worldwide, obstetrical emergencies are the leading causes of maternal mortality particularly in developing countries where lack of transport facilities, financial constraints due to poverty, illiteracy, ignorance, inadequate health infrastructure and meager blood bank facilities.

Lack of nurse's knowledge and skills on how to recognize and manage obstetrical emergencies contribute to substandard institutional care and preventable maternal deaths. Many studies have shown that health workers lack for the knowledge and skills to provide good quality care.

Proper knowledge about identification signs, emergency measures to be taken and a well-equipped obstetrics unit can reduce maternal mortality by almost 35- 40%, Maternity nurses are the main frontline skilled health personnel providing maternity care services globally. When educated, trained and regulated to national and international standards, maternity nurses can provide 90% of the needed essential care for women and newborns.

Most maternal complications are difficult to predict and prevent since any pregnant woman can develop them at any time during pregnancy, delivery or in the postpartum period. Thus, provision of effective, affordable and quality emergency obstetric care (EmOC) and efficient referral system plays pivotal role in promoting safe motherhood.

Immediate nursing management of the emergency cases is depending on the prompt action of the nurse and midwife recognition of the problem. She needs to recognize the onset of complications, perform intervention and practical skills that enables her to give emergency obstetrical care including life saving measures when needed being technically up-to-date on the latest evidence based skills and identifying those who are at the potential risk and referring them for expert care.

Although, pregnancy and childbirth is a normal process, complications may occur any time during antenatal or post natal period. Every delivery must be managed as an obstetrical emergency and all the preparation done to deal these emergencies. Skilled health professionals working in favorable environment should be available and able to attend to every pregnancy, delivery and must be available 24 hours a day, seven days a week.

Obstetrics emergency protocols are strategies geared towards reducing maternal deaths. The core elements of obstetrics emergency protocols include availability of skilled personnel to carry out effective interventions during pregnancy, delivery and postnatal period, availability of essential drugs and supplies and patient referrals.

The goals of emergency obstetric care protocol of critically ill women involve intensive monitoring and physiologic support for women with life-threatening to detect abnormal findings or subtle signs and symptoms of developing complications. Thus, the nursing contribution is very important to the rescue and mobilization of the team process to provide proper immediate care for the mother and the newborn and prevent any complication to be arises.

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

  • Name: Rania Metwally El-kurdy, doctor
  • Phone Number: +201006577020

Study Locations

  • Egypt
      • Al Mansurah, Egypt
        • Mansoura University
        • Contact:
        • Contact:
          • rania el-kurdy, doctor
          • Phone Number: +201006577020
        • Principal Investigator:
          • Eman Nabil Ibrahim

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • of maternity nurses who are works in Obstetric departments , Emergency obstetric operating room and delivery unit

Exclusion Criteria:

  • nurses who are on long vocations at the time of data collection or have administrative work.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: maternity nurses
maternity nurses who are works in predetermined setting will be recruited except nurses who are on long vocations at the time of data collection or have administrative work.
Procedure: educational booklet
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Time Frame: after3 months of intervention
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
after3 months of intervention
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Time Frame: after 3months of intervention
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
after 3months of intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mansoura University

Investigators

  • Principal Investigator: Eman Nabil Ibrahim, doctor, Mansoura Uneversity
  • Principal Investigator: Eman Nabil Ibrahim, Specialist Nurse

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

March 1, 2026

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

January 1, 2027

Study Registration Dates

First Submitted

November 18, 2025

First Submitted That Met QC Criteria

November 18, 2025

First Posted (Actual)

November 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 3, 2026

Last Update Submitted That Met QC Criteria

February 28, 2026

Last Verified

November 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • Applying Emergency Obstetric C

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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