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Labor Care Guide Application (LCG)

2026年6月29日 更新者：Ain Shams University

Labor Care Guide Application in Ain Shams University Maternity Hospital: A Randomized Controlled Trial

Application of the WHO Labor Care Guide in Ain Shams university Maternity hospital demonstrates high healthcare provider acceptability and improves labor progression, increases vaginal delivery rates, and reduces selected maternal complications without adversely affecting neonatal outcomes.

研究概览

地位

完全的

条件

干预/治疗

详细说明

The Labor Care Guide (LCG) is a tool developed by the World Health Organization (WHO) to support evidence-based, woman-centered intrapartum care and improve labor monitoring. It was introduced as an alternative to the traditional partograph, aiming to facilitate timely clinical decision-making and enhance the quality of maternity care.

This randomized controlled trial was conducted at Ain Shams University Maternity Hospital to evaluate the effect of the WHO Labor Care Guide on maternal and neonatal outcomes among women undergoing vaginal delivery. Eligible pregnant women were randomly assigned to one of two groups: a study group monitored using the WHO Labor Care Guide and a control group monitored using the modified WHO partograph.

Participants underwent routine obstetric assessment and monitoring throughout labor according to the allocated monitoring tool. Maternal outcomes assessed included labor progression, mode of delivery, and intrapartum and postpartum complications. Neonatal outcomes included neonatal well-being, need for neonatal intensive care admission, and neonatal complications. Healthcare provider satisfaction with the labor monitoring tool was also evaluated.

The study aimed to compare the effectiveness of the WHO Labor Care Guide with the modified WHO partograph in supporting labor management and improving maternal and neonatal care.

研究类型

介入性

注册 (实际的)

350

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 埃及
      • Cairo、埃及
        • Ain Shams University Maternity Hospital

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子

接受健康志愿者

是的

描述

Inclusion Criteria:

  1. Pregnant woman who will undergo vaginal delivery at Ain Shams University Maternity Hospital with gestational age above or equal 37 weeks
  2. Vertex presentation .
  3. Women with estimated fetal weight 2.5 till 4 kg

Exclusion Criteria::

  1. Placenta previa
  2. Placenta previa accreta
  3. Macrosomic baby above 4 kg in diabetic women and above 4.5 kg in non diabetic women
  4. Placenta abruption complicated by non reassuring CTG or life threatening bleeding
  5. Cord prolapse
  6. Vasa previa
  7. Primary active genital herpes simplex
  8. Patient with anemia which may lead to atonic uterus and prolonged labor.
  9. Women with previously scarred uterus due to risk of ruptured uterus and postpartum hemorrhage

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：卫生服务研究
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Labor care guide
Intervensional study
设备：labor care guide
labor monitoring tool
无干预：partogrph
no intervension

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Healthcare Provider Satisfaction as Measured by the Provider Satisfaction Questionnaire (PSQ)
大体时间：assessed at 6 months
Measured using a 5-point Likert scale. Range: 1-5. Higher scores indicate greater satisfaction.
assessed at 6 months

次要结果测量

结果测量
措施说明
大体时间
Mode of delivery
大体时间：At delivery
The percentage of participants undergoing different modes of delivery (e.g., normal vaginal delivery, operative vaginal delivery, or cesarean section)
At delivery
Duration of active labor
大体时间：At delivery
The total duration of the active phase of labor, measured in hours.
At delivery
Incidence of maternal complications
大体时间：assessed at 6 weeks postpartum
The percentage of mothers who experience any postpartum or intrapartum complications (e.g., postpartum hemorrhage, infection).
assessed at 6 weeks postpartum
Incidence of neonatal complications
大体时间：At delivery
The percentage of newborns who experience neonatal complications (e.g., respiratory distress, hypoglycemia).
At delivery
Duration of hospital stay
大体时间：from birth until hospital discharge average 2 to 3 days
The total number of days the mother and/or neonate remained hospitalized from admission to discharge.
from birth until hospital discharge average 2 to 3 days
Neonatal Outcomes via Apgar Score and NICU Admission
大体时间：from birth until hospital discharge average 2 to 3 days
Neonatal well-being will be assessed using the Apgar score at 5 minutes (ranging from 0 to 10, where higher scores indicate better neonatal health) and the rate of admission to the Neonatal Intensive Care Unit (NICU).
from birth until hospital discharge average 2 to 3 days

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Ain Shams University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2025年4月1日

初级完成 (实际的)

2025年8月1日

研究完成 (实际的)

2025年8月1日

研究注册日期

首次提交

2026年6月10日

首先提交符合 QC 标准的

2026年6月29日

首次发布 (实际的)

2026年7月7日

研究记录更新

最后更新发布 (实际的)

2026年7月7日

上次提交的符合 QC 标准的更新

2026年6月29日

最后验证

2025年8月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • MS459

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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