Electronic Partograph: A Way of Improving Partograph Use During Labour Monitoring Process in Selected District Hospitals in Bangladesh

NCT03509103 | Completed

• 1 other identifier: PR-14011
• Study Type: interventional
• Target: 1,012
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background (brief):

• Feasibility and acceptability of digital partograph use will be assessed among health service providers in selected DH in Bangladesh;
• The user rate of digital partograph will be estimated during labour monitoring process in DHs in Bangladesh;
• The birth asphyxia and prolonged labour rate will be estimated after introducing digital partograph in selected DHs in Bangladesh;
• The barriers and facilitating factors of introducing electronic partograph will be determined in DHs in Bangladesh.

Conditions

Prolonged Labor

Keywords

Partograpgh

Outcome Measures

Primary Outcomes (1)

• User rate of Electronic Partograph

  Increased user rate

  37 completed gestational weeks

Study Arms (2)

Electronic partograph

EXPERIMENTAL

The electronic version of the partograph was a state-of-the-art application that is accessed through smart phone or tablet pc or computer device. The application's user interface (UI) is segmented; users will have to concentrate only on a single portion at a time that would lessen the existing complexity of using paper-based partograph. e-partograph application's user interface in Android programming language for smart tabs, and in ASP.net with C# language for personal computers. The application has options to save the data in local storage and in a remote central database storage concurrently. Local storage contains data for temporarility; the remote server contains the data permanently which makes the partograph information searchable at any time and place. This application allows partograph data to be monitored remotely.

Other: Electronic Partograph

Paper Partograph

ACTIVE COMPARATOR

An standard training on how to use and fill out partograph was conducted

Other: Electronic Partograph

Interventions

Electronic Partograph OTHER

The electronic version of the partograph was a state-of-the-art application that is accessed through smart phone or tablet pc or computer device. The application's user interface (UI) is segmented; users will have to concentrate only on a single portion at a time that would lessen the existing complexity of using paper-based partograph. e-partograph application's user interface in Android programming language for smart tabs, and in ASP.net with C# language for personal computers. The application has options to save the data in local storage and in a remote central database storage concurrently. Local storage contains data for temporarility; the remote server contains the data permanently which makes the partograph information searchable at any time and place. This application allows partograph data to be monitored remotely.

Electronic partograph; Paper Partograph

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• women with spontaneous labour in the first stage of labour
• cervical dilatation in between 4-7 centimeters
• singleton pregnancy
• gestation of at least 37 completed weeks
• cephalic presentations
• no additional complications

You may not qualify if:

• women with ante partum hemorrhage
• breech presentation,
• multiple pregnancy,
• premature labour (before 37 weeks)
• Eclampsia,
• elective caesarean section
• induced labour

Sponsors & Collaborators

• International Centre for Diarrhoeal Disease Research, Bangladesh: lead

Related Publications (1)

• Rahman A, Begum T, Ashraf F, Akhter S, Hoque DME, Ghosh TK, Rahman M, Stekelenburg J, Das SK, Fatima P, Anwar I. Feasibility and effectiveness of electronic vs. paper partograph on improving birth outcomes: A prospective crossover study design. PLoS One. 2019 Oct 7;14(10):e0222314. doi: 10.1371/journal.pone.0222314. eCollection 2019.

  PMID: 31589625 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 16, 2018
• First Posted: April 26, 2018
• Study Start: February 1, 2015
• Primary Completion: August 30, 2016
• Study Completion: December 31, 2016
• Last Updated: May 11, 2018

Record last verified: 2018-04

Data Sharing

• IPD Sharing: Will not share