Practice of Assisted Vaginal Birth in Egypt

NCT07308977 | Not Yet Recruiting DMC

• 1 other identifier: 20
• Study Type: observational
• Target: 150
• Locations: 0 countries
• Sites: N/A

Brief Summary

In Egypt, the proportion of CSs has been steadily increasing in recent years and has reached an alarming level. According to data from the Royal College of Obstetricians and Gynaecologists (RCOG), approximately 6% of caesarean sections (CS) are performed on average because of inadequate supervision from junior staff members or a lack of training, particularly during the critical decision-making phase of this second stage. The unfamiliarity and lack of experience with operative vaginal delivery is a major cause for the rise in the rate of second stage caesarean section. This survey targets obstetricians with different levels of experience to find practical solutions to increase the rate of assisted vaginal delivery which subsequently will decrease the rate of second stage CS.

Conditions

Vaginal Delivery

Keywords

Assisted vaginal delivery

Outcome Measures

Primary Outcomes (1)

• Obstacles preventing the increase in the performance of assisted vaginal birth in Egypt by a questionnaire directed to obstetricians in three maternity tertiary centers in Cairo, Egypt

  through the study completion, an average of 4 months

Interventions

Survey using a questionnaire. OTHER

This cross-sectional study aims to identify the obstacles preventing an increase in AVB performance in Egypt. Obstetricians from three tertiary care centers in Egypt will be invited to participate in this Online web-based survey over the study period. The questions in this survey are included in 5 sections; demographics, workload and AVB practice, obstetrician-related factors, service provision factors, and what changes could be implemented to increase the rate of uptake of AVB by Egyptian obstetricians. The link to the survey will be sent to the study participants, and the data will be collected for analysis

Eligibility Criteria

• Age: 28 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Obstetricians from three tertiary maternity hospitals in Cairo, Egypt. The three hospitals are Ain Shams University Maternity Hospital, El Hussein University Hospital, and El Kasr Alaini Hospital

You may qualify if:

• Obstetricians with at least 3 years of experience in practicing obstetrics
• Obstetricians with their primary health care facility being one of the three Tertiary centres, Ain Shams University Maternity Hospital, El Hussein University Hospital, and El Kasr Alaini Hospital

Sponsors & Collaborators

• Ain Shams Maternity Hospital: lead

Related Publications (6)

• Obstetric care consensus no. 1: safe prevention of the primary cesarean delivery. Obstet Gynecol. 2014 Mar;123(3):693-711. doi: 10.1097/01.AOG.0000444441.04111.1d.

  PMID: 24553167 BACKGROUND

• Becker DA, Blanchard CT, Szychowski JM, Rogers SL, Brumfield CG, Subramaniam A. Resident Operative Vaginal Delivery Volume after Educational Curriculum Implementation. Am J Perinatol. 2020 Nov;37(13):1296-1300. doi: 10.1055/s-0040-1710543. Epub 2020 May 26.

  PMID: 32455468 BACKGROUND

• Darmstadt GL, Hussein MH, Winch PJ, Haws RA, Gipson R, Santosham M. Practices of rural Egyptian birth attendants during the antenatal, intrapartum and early neonatal periods. J Health Popul Nutr. 2008 Mar;26(1):36-45.

  PMID: 18637526 BACKGROUND

• Banerjee A, Al-Dabbach Z, Bredaki FE, Casagrandi D, Tetteh A, Greenwold N, Ivan M, Jurkovic D, David AL, Napolitano R. Reproducibility of assessment of full-dilatation Cesarean section scar in women undergoing second-trimester screening for preterm birth. Ultrasound Obstet Gynecol. 2022 Sep;60(3):396-403. doi: 10.1002/uog.26027.

  PMID: 35809243 BACKGROUND

• Jadoon B, Assar TM, Nucier AAAR, Raziq HEA, Abd El-Azym Saad AS, Megahed Amer W. Analysis of the caesarean section rate using the 10-Group Robson classification at Benha University Hospital, Egypt. Women Birth. 2020 Mar;33(2):e105-e110. doi: 10.1016/j.wombi.2019.03.009. Epub 2019 Apr 13.

  PMID: 30987799 BACKGROUND

• Fasseeh A, ElEzbawy B, Adly W, ElShahawy R, George M, Abaza S, ElShalakani A, Kalo Z. Healthcare financing in Egypt: a systematic literature review. J Egypt Public Health Assoc. 2022 Jan 7;97(1):1. doi: 10.1186/s42506-021-00089-8.

  PMID: 34994859 BACKGROUND

Study Officials

• Alaa S Elsewafy, M.D.,

  Faculty of Medicine - Ain Shams university

  STUDY CHAIR

• Mohamed A Haroun

  Faculty of Medicine - Modern University for Technology and Information

  PRINCIPAL INVESTIGATOR

• Ahmed M Sweidan

  Faculty of Medicine - Suez University

  STUDY CHAIR

Central Study Contacts

Ahmed M Elmaraghy, M.D,

CONTACT

+201010370980; ahmedelmaraghy@med.asu.edu.eg

Hamdy BM Alqenawy, M.D.,

CONTACT

hamdybakry@med.asu.edu.eg

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor of Obstetrics and Gynecology

Study Record Dates

• First Submitted: December 4, 2025
• First Posted: December 30, 2025
• Study Start: January 15, 2026
• Primary Completion (Estimated): May 15, 2026
• Study Completion (Estimated): May 15, 2026
• Last Updated: December 30, 2025

Record last verified: 2025-12