Home » Trials » SLCTR/2020/017


Efficacy of education about labour process in changing clinical birth outcomes

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SLCTR Registration Number

SLCTR/2020/017


Date of Registration

04 Aug 2020

The date of last modification

Sep 10, 2020



Application Summary


Scientific Title of Trial

Efficacy of education about labour process in changing clinical birth outcomes


Public Title of Trial

A non-randomized controlled trial on the efficacy of an education program on mode of delivery and pregnancy outcomes


Disease or Health Condition(s) Studied

pregnancy


Scientific Acronym

None


Public Acronym

None


Brief title

Efficacy of an education program on the mode of delivery and pregnancy outcome


Universal Trial Number

U1111-1245-9677


Any other number(s) assigned to the trial and issuing authority

P/10/02/2020


Trial Details


What is the research question being addressed?

Does an education program delivered to pregnant mothers change the mode of delivery and birth outcomes?


Type of study

Interventional


Study design

Allocation

Non-randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Sequential


Purpose

Supportive care


Study Phase

Not Applicable


Intervention(s) planned

Study setting: Obstetric ward of the North Colombo teaching hospital, Ragama

Study design Quasi experimental study design.

Intervention: A research assistant will give a short health talk to eligible mothers in a group of 5 to 10, when they come for the growth scan at 36 weeks. The talk will last for around 15 to 20 minutes, and will focus on; 1.An introduction to labour pains 2.The role played by the staff members during the delivery 3.A brief description of what happen from admission to delivery including the purpose and frequency of per vaginal examination 4.What to do while in the ward 5.What to do/ not to do while in the labour room 6. Introduction to positioning during ‘pushing’ During the talk they will be informed that if any abnormality or threat exists to the woman or her baby during the labour process, an emergency LSCS will take place with their consent.

The control group will receive the standard antenatal care provided at the setting of the Medical Officer of Health and at the tertiary care level.


Inclusion criteria

Primigravid females between 20 to 35 years of age attending the antenatal clinic at of 36 weeks of gestation carrying a single live fetus in cephalic presentation


Exclusion criteria

  • Mothers having any medical disorders complicating pregnancy
  • Mothers carrying fetuses who are small for gestational age (estimated fetal weight(EFW) less than 10th centile) or large for gestational age (EFW more than 90th centile) or with umbilical artery Doppler resistance index above 95th centile or diagnosed with oligohydramniosis (measured as deepest vertical pool less than 2cm )
  • Mothers with placenta previa


Primary outcome(s)

1.

Mode of delivery – 1) Non assisted Vaginal delivary 2) Forceps delivery 3) Vacuum delivery 3) Elective Cesarean 4) Emergency Cesarean

[

At post partum ward

]

Secondary outcome(s)

1.

1) Onset of labour - spontaneous or induced 2) If induced - Number of prostaglandin doses used 3) Time duration from admission to labour room to delivery - to the nearest hour 4) Were analgesics used during labour - Y/N 5) If yes, type of analgesia - paracetamol/pethidine 6) Was Artificial Rupture of Membrane done - Y/N 7) Was oxytocin used to augment labour -Y/N 8) Apgar score at birth 9) Neonatal resuscitation required at birth - Y/N 10) Premature Baby Unit admission - Y/N 11) Maternal satisfaction on the birthing experience - Using a standard scale

[

At post partum ward

]

Target number/sample size

190 in each arm


Countries of recruitment

Sri Lanka


Anticipated start date

2020-08-10


Anticipated end date

2021-08-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Self funded


Regulatory approvals

PGIM



State of Ethics Review Approval


Status

Approved


Date of Approval

2020-06-09


Approval number

P/10/02/2020


Details of Ethics Review Committee

Name: Ethics Review Committee, Kelaniya
Institutional Address:Faculty of Medicine, University of Kelaniya
Telephone:0112961267
Email: erckelaniya@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

P.L.D. De silva
Registrar in Gyn and Obs
Colombo North Teaching Hospital, Ragama
0112960023
0716836189

plddesilva@gmail.com

Contact Person for Public Queries

Dr. Pradeep De Silva Consultant
Gyneacologist and Obstetrician,
Colombo North Teaching Hospital, Ragama
0112960023
0772449062

madiwela@hotmail.com


Primary study sponsor/organization







Secondary study sponsor (If any)







Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results