Clinical Audit of Labour Progress and Assisted Vaginal Birth

November 4, 2026 updated by: Reham Abdelhameed Ali, Assiut University

Clinical Audit of the Progress of Labour in Women's Health Hospital, Assiut University and Potential Use of Assisted Vaginal Delivery

This observational clinical audit aims to evaluate the recording and management of labour progress and the use of assisted vaginal birth in women admitted with the intention of vaginal delivery.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

The progress of labour is monitored using partograph or WHO Labour Care Guide standards. Assisted vaginal birth is recommended in eligible women with delay in the second stage, yet rates have declined in many settings.

This criterion-based clinical audit will review labour records of women admitted with the intention of vaginal birth and will include an anonymous staff survey to identify barriers to the use of assisted vaginal delivery.

Study Type

Observational

Enrollment (Estimated)

150

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

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Sampling Method

Non-Probability Sample

Study Population

Women of any age and parity admitted in labour with the intention of vaginal birth at Women's Health Hospital, Assiut University.

Description

Inclusion Criteria:

  • Women admitted in labour with the intention of vaginal birth
  • Singleton live pregnancy with cephalic presentation
  • Gestational age of 37 completed weeks or more
  • Spontaneous or induced labour

Exclusion Criteria:

  • - Elective caesarean section or caesarean decided before onset of labour
  • Non-cephalic presentation or multiple pregnancy
  • Intrauterine fetal death or major congenital anomaly
  • Absolute contraindication to vaginal birth
  • Delivery before arrival or transfer to another facility

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

  • Observational Models: CASE_ONLY
  • Time Perspectives: CROSS_SECTIONAL

Cohorts and Interventions

Group / Cohort
Women in Labour

Women admitted in labour with the intention of vaginal birth whose records will be audited against predefined standards.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of women eligible for assisted vaginal birth
Time Frame: Baseline

Number of women who fulfil the predefined criteria for assisted vaginal birth during the second stage of labour.
Baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of women who receive assisted vaginal birth
Time Frame: Baseline

Number of eligible women in whom assisted vaginal birth is performed.
Baseline
Number of women delivered by caesarean section at full dilatation
Time Frame: Baseline

Number of eligible women delivered by caesarean section at full cervical dilatation without an attempt at assisted vaginal birth.
Baseline
Compliance with labour progress documentation standards
Time Frame: Baseline

Number of cases in which labour progress is recorded according to the agreed audit standards.
Baseline

Collaborators and Investigators

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

Sponsor

Assiut University

Investigators

  • Study Chair: Omar M Mohamed, prof, Obstetrics and gynecology Department, Assiut University Hospitals

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)

November 10, 2026

Primary Completion (Estimated)

November 10, 2027

Study Completion (Estimated)

February 20, 2028

Study Registration Dates

First Submitted

November 4, 2026

First Submitted That Met QC Criteria

November 4, 2026

First Posted (Actual)

November 9, 2026

Study Record Updates

Last Update Posted (Actual)

November 9, 2026

Last Update Submitted That Met QC Criteria

November 4, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Labour-Audit-Assiut-2026

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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