The Utility of Partogram in Management

NCT ID: NCT06575387

Last Updated: 2025-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-09-10

Brief Summary

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The partograph serves as "early warning system" and it has shown to be effective in preventing prolonged labour, in reducing operative interventions and in improving the neonatal outcome.

"A picture is worth a thousand words". A partograph review if well recorded provides rapid and comprehensive information about progress of labour when compared with a review of detailed handwritten case sheets. Partograph is a Latin/Greek hybrid word synonymous with parturition recorded in a graphic form.

Detailed Description

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labour is a natural physiological process characterized by progressive increase in the frequency, intensity and duration of uterine contractions, resulting in effacement and dilatation of the cervix with descent of the foetus through the birth canal. This physiological process may take time lead to pathological one and failure to recognize this would result in prolonged labour with the resultant increase in the intensity in the morbidity and mortality of both foetus and the mother.This leads to surgical intervention with further danger to both the mother and foetus. Hence, prolonged labour and obstructed labour must be prevented by timely and effective measures, so as to give the mother a safe and happy experience of labour and child birth. The safe mother hood initiative (SMI) emphasises that the monitoring of labour for early detection of dystocia is one of the most important approaches for reducing maternal and neonatal morbidity and mortality.

In this context, the partogram has been adopted by the WHO (World health Organization) to monitor labour in maternity clinics in developing countries as a simple managerial tool to prevent prolonged labour, obstructed labour and its sequelle. The paperless partograph refers to monitoring progress of labour and reaching to an accurate decision for intervention to ensure safe delivery.

The partograph, a graphic recording of progress of labour and salient features in the mother and foetus has been used to detect labour that is not progressing normally, to help in early decision on augmentation and termination of labour.

WHO partograph is a composite graphic representation of events that takes place in labour plotted against time in hours on a pre-printed paper. It consists of three parameters:

Conditions

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Labor Onset

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Group A: Uncomplicated Normal Labour

About 140 prime gravidae females delivered before or at alert line

Group Type ACTIVE_COMPARATOR

Partogram

Intervention Type PROCEDURE

to evaluate the utility of partogram in management and progress of active labor in Primigravidae.

Group B: Complicated Normal Labour

About 40 prime gravidae females delivered between alert and action line

Group Type ACTIVE_COMPARATOR

Partogram

Intervention Type PROCEDURE

to evaluate the utility of partogram in management and progress of active labor in Primigravidae.

Group C: Cesarean Section Labour

About 20 prime gravidae females delivered after action line

Group Type ACTIVE_COMPARATOR

Partogram

Intervention Type PROCEDURE

to evaluate the utility of partogram in management and progress of active labor in Primigravidae.

Interventions

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Partogram

to evaluate the utility of partogram in management and progress of active labor in Primigravidae.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Primigravida, 20 and 35 years old
* Gestational age 37 - 41 weeks with vertex presentation
* Singleton pregnancy
* Spontaneous or induced labour
* First stage of labour with cervical dilatation \< than 7 cm.

Exclusion Criteria

* Abnormal presentation
* Macrosomic baby
* Contacted pelvis
* Multifetal gestations
* Antepartum haemorrhage
* Cases with high risk pregnancy as Severe PIH, Severe anaemia and gestational diabetes mellitus.
* Patient refused to enrolled in the research
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role collaborator

Egymedicalpedia

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abd El-Aziz Galal El-Din El-Darwish, Professor

Role: STUDY_CHAIR

Al-Azhar University, Faculty of medicine, Assuit.

Khaled Mohamed Ahmed M. Abdallah, Assist.Professor

Role: STUDY_DIRECTOR

Al-Azhar University, Faculty of medicine, Assuit.

Locations

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Al-Azhar University hospitals

Asyut, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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Manal Ahmed Mohamed

Identifier Type: -

Identifier Source: org_study_id

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