Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates

NCT07550439 | Not Yet Recruiting DMC

• 1 other identifier: 21042026
• Study Type: interventional
• Target: 174
• Locations: 0 countries
• Sites: N/A

Brief Summary

After taking informed consent for participation in the study, all selected cases will be divided into two groups by lottery method. In group A, patients will receive care using WHO Labour Care Guide while in group B, patients will be monitored using WHO partograph.

Conditions

Labour

Keywords

Labour Care Guide

Outcome Measures

Primary Outcomes (1)

• Frequency of Cesarean Section

  To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.

  24 hours

Study Arms (2)

Group A

EXPERIMENTAL

In group A, patients will receive care using WHO Labour Care Guide.

Other: WHO Labour Care Guide

Group B

PLACEBO COMPARATOR

In group B, patients will be monitored using WHO partograph.

Other: Partogram

Interventions

WHO Labour Care Guide OTHER

Labour will be monitored using WHO Labour care guide

Group A

Partogram OTHER

Labour will be monitored using partogram

Group B

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: Pregnant females
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• All pregnant women in active phase of labour (\>5cm cervical dilatation) and gestational age of 37 weeks to 41 completed weeks (as assessed on LMP).
• Previous no caesarean section. Age 18-40 years. Both primiparous and multiparous. Both booked and unbooked.

You may not qualify if:

• Women with chronic hypertension (BP \>140/90 mmHg on 2 consecutive occasions). Pregnancy induced Hypertension: women with no history of hypertension (blood pressure \>140/90 mmHg on 2 consecutive occasions) and diagnosed in pregnancy.
• Gestational Diabetes mellitus: women with no history of diabetes mellitus (FBS \>110 mg/dl on 2 consecutive occasions) and diagnosed in pregnancy.
• Women who had a caesarean section in the latent phase of labour.

Sponsors & Collaborators

• Pak Emirates Military Hospital: lead

Study Officials

• Salma Nisar, MBBS, FCPS

  Pak Emirates Military Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr Sana Murtaza, MBBS

CONTACT

+92 333 666188; sanamurtaza093@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Registrar

Model Details: To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.

Study Record Dates

• First Submitted: April 19, 2026
• First Posted: April 24, 2026
• Study Start: May 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: April 24, 2026

Record last verified: 2026-04