Comparison Between Using 10min CTG in Fetal Monitoring Instead of 30min Monitoring in Low Resources Overcrowded Hospitals.

NCT07250620 | Not Yet Recruiting

• 1 other identifier: 10min CTG monitoring accuracy.
• Study Type: observational
• Target: 200
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cardiotocography (CTG) is a cornerstone of intrapartum fetal monitoring but requires a minimum of 30 minutes for a reliable trace, creating a significant bottleneck in high-volume, low-resource settings like Egypt As it is time-consuming and resource intensive. This leads to delays in care and increased workload for healthcare providers. A shortened, yet accurate, CTG protocol could drastically improve workflow and resource allocation without compromising fetal safety.

Conditions

Normal Pregnancy; Labor Active Dilated Cm

Keywords

CTG; Fetal monitoring

Outcome Measures

Primary Outcomes (1)

• To compare the diagnostic accuracy (sensitivity, specificity, PPV, NPV) of a 10 minute CTG versus a standard 30-minute CTG in fetal monitoring and well being

  Using fetal acidemia defined as (umbilical venous pH \< 7.25) as reference in detecting fetal will being and comparing results with 10-min \& 30-min CTG monitoring to evaluate diagnostic accuracy of both in detecting fetal acidemia.

  Immediately after birth

Study Arms (1)

women full term pregenancy in active stage of labor

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Pregnant women only with full term pregnancy
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All women who come to Women's Health Assiut university hospital in labor and meet the inclusion criteria after informed consent.

You may qualify if:

• Singleton pregnancy.
• Gestational age ≥ 37 weeks.
• Vertex presentation.
• Active first stage of labor (cervical dilation ≥ 4 cm).
• Low-risk pregnancy (no hypertension, diabetes, IUGR, or other significant complications).

You may not qualify if:

• Multiple gestation.
• Known major fetal anomaly.
• Non-vertex presentation.
• Indication for continuous CTG (e.g., meconium-stained liquor, antepartum hemorrhage).
• Maternal refusal.

Sponsors & Collaborators

• Assiut University: lead

Related Publications (3)

• Tomich MF, Leoni RS, Meireles PT, Petrini CG, Araujo Junior E, Peixoto AB. Accuracy of intrapartum cardiotocography in identifying fetal acidemia by umbilical cord blood analysis in low-risk pregnancies. Rev Assoc Med Bras (1992). 2023 May 15;69(6):e20221182. doi: 10.1590/1806-9282.20221182. eCollection 2023.

  PMID: 37194903 RESULT

• Alfirevic Z, Devane D, Gyte GM, Cuthbert A. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev. 2017 Feb 3;2(2):CD006066. doi: 10.1002/14651858.CD006066.pub3.

  PMID: 28157275 RESULT

• Garabedian C, De Jonckheere J, Butruille L, Deruelle P, Storme L, Houfflin-Debarge V. Understanding fetal physiology and second line monitoring during labor. J Gynecol Obstet Hum Reprod. 2017 Feb;46(2):113-117. doi: 10.1016/j.jogoh.2016.11.005. Epub 2017 Jan 30.

  PMID: 28403965 RESULT

Related Links

• Related Info

Study Officials

• Elwani Eldremey Elsenousy, Professor

  Assiut University

  STUDY CHAIR

Central Study Contacts

Soliman Mohamed Alazhary, Master

CONTACT

+20 1143883568; Soliman.alazhary@gmail.com

Seif Ahmed Ali, PHD

CONTACT

+20 1004971596; Seifali-2020@aun.edu.eg

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.Soliman Mohamed Alazhary

Study Record Dates

• First Submitted: November 16, 2025
• First Posted: November 26, 2025
• Study Start: December 17, 2025
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: November 26, 2025

Record last verified: 2025-11