Emergency CareNCT07248605
Emergency Obstetric Care Protocol
A study testing educational booklet in people with Emergency Care and Obstetric, run by Mansoura University at 1 site in Egypt.
Trial summary
This study aims to investigate the effect of applying emergency obstetric care protocol on maternity nurses' practices. Read more about this study
- Who is it for?
- Ages 20 to 35 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Emergency Care, Obstetric
- What is being tested?
- educational booklet
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Mar 2026to 1 Jan 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- of maternity nurses who are works in Obstetric departments , Emergency obstetric operating room and delivery unit
Who cannot join
- nurses who are on long vocations at the time of data collection or have administrative work.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Rania Metwally El-kurdy, doctor contact
Egypt1 site
Mansoura university
Al Mansurah
Mansoura Uneversity uneversity, 0502200368, enursing@mans.edu.eg
rania el-kurdy, doctor, +201006577020
About this study
Official title: Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
This study aims to investigate the effect of applying emergency obstetric care protocol on maternity nurses' practices.
Read the detailed description
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices Obstetrical emergencies are life threatening medical condition that occurs during pregnancy, labor or the postpartum period. Emergency Obstetric Care (EmOC) is categorized as Basic Emergency Obstetric Care (BEmOC) and Comprehensive Emergency Obstetric Care [CEmOC].
Treatments within BEmOC include the administration of parenteral antibiotics, oxytocics and anticonvulsants, manual removal of the placenta, removal of retained products of conception and assisted vaginal delivery. Comprehensive Emergency Obstetric Care (CEmOC) includes all of these plus blood transfusion and cesarean section.
The World Health Organization (WHO), posits the following conditions as obstetrical emergencies, ectopic or tubal pregnancy, abruptio placenta, placenta previa, sever preeclampsia \& eclampsia or pregnancy induced hypertension, premature rupture of membranes, amniotic fluid embolism, inversion or rupture of uterus, placenta accreta, prolapsed umbilical cord, shoulder dystocia, postpartum hemorrhage and postpartum infection.
Globally, every year an estimated 287,000 women die of complications during pregnancy or childbirth. There are a variety of obstetrical emergencies of pregnancy that can threaten the well-being of both mother and newborn baby (WHO, 2019). Worldwide, obstetrical emergencies are the leading causes of maternal mortality particularly in developing countries where lack of transport facilities, financial constraints due to poverty, illiteracy, ignorance, inadequate health infrastructure and meager blood bank facilities.
Lack of nurse's knowledge and skills on how to recognize and manage obstetrical emergencies contribute to substandard institutional care and preventable maternal deaths. Many studies have shown that health workers lack for the knowledge and skills to provide good quality care.
Proper knowledge about identification signs, emergency measures to be taken and a well-equipped obstetrics unit can reduce maternal mortality by almost 35- 40%, Maternity nurses are the main frontline skilled health personnel providing maternity care services globally. When educated, trained and regulated to national and international standards, maternity nurses can provide 90% of the needed essential care for women and newborns.
Most maternal complications are difficult to predict and prevent since any pregnant woman can develop them at any time during pregnancy, delivery or in the postpartum period. Thus, provision of effective, affordable and quality emergency obstetric care (EmOC) and efficient referral system plays pivotal role in promoting safe motherhood.
Immediate nursing management of the emergency cases is depending on the prompt action of the nurse and midwife recognition of the problem. She needs to recognize the onset of complications, perform intervention and practical skills that enables her to give emergency obstetrical care including life saving measures when needed being technically up-to-date on the latest evidence based skills and identifying those who are at the potential risk and referring them for expert care.
Although, pregnancy and childbirth is a normal process, complications may occur any time during antenatal or post natal period. Every delivery must be managed as an obstetrical emergency and all the preparation done to deal these emergencies. Skilled health professionals working in favorable environment should be available and able to attend to every pregnancy, delivery and must be available 24 hours a day, seven days a week.
Obstetrics emergency protocols are strategies geared towards reducing maternal deaths. The core elements of obstetrics emergency protocols include availability of skilled personnel to carry out effective interventions during pregnancy, delivery and postnatal period, availability of essential drugs and supplies and patient referrals.
The goals of emergency obstetric care protocol of critically ill women involve intensive monitoring and physiologic support for women with life-threatening to detect abnormal findings or subtle signs and symptoms of developing complications. Thus, the nursing contribution is very important to the rescue and mobilization of the team process to provide proper immediate care for the mother and the newborn and prevent any complication to be arises.
- Conditions
- Emergency Care, Obstetric
- Being tested
- educational booklet
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
educational bookletProcedure or surgery
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
| Study group | Role | What they receive |
|---|---|---|
| maternity nurses | Experimental | maternity nurses who are works in predetermined setting will be recruited except nurses who are on long vocations at the time of data collection or have administrative work. Receives: Procedure: educational booklet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Measured: after3 months of intervention
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Measured: after 3months of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Nov 2025
- Study start1 Mar 2026 (estimated)
- Primary completion1 Dec 2026 (estimated)
- Study completion1 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Emergency CareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- * The researcher will attend labor and delivery unit, emergency obstetric operating room and obstetric departments (9-10-15-18) at Mansoura University Hospital 3 days per week in cold days (Saturday, Monday and Wednesday) from 9:00 a.m. to 2:00 p.m. until the study sample is complete * The emergency obstetric care protocol will be carried out at pre-mentioned setting based on the results obtained from pre training assessment using the interviewing questionnaire and observational checklist. * Implementation of teaching and training will take (12) weeks. Nurses will be divided into (12) groups. Each group will include five nurses according to working circumstances and nurse's physical and mental readiness. * The overall sessions will be six sessions for each group divided into three theoretical sessions with a duration will be ranged from 30-45minutes for each, and three practical sessions while the duration of each practical session will be ranged from 30-60 minutes, The content will
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Mansoura University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Eman Nabil Ibrahim Mohamed, Mansoura University
- Investigators
- Eman Nabil Ibrahim, doctor, Principal investigator, Mansoura UneversityEman Nabil Ibrahim, Principal investigator, Specialist Nurse
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07248605
- Sponsor's protocol ID
- Applying Emergency Obstetric C
- Status last verified
- Nov 2025
- First submitted
- 18 Nov 2025
- Last updated
- 3 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Okonofua F, Ntoimo LFC, Ogu R, Galadanci H, Gana M, Adetoye D, Abe E, Okike O, Agholor K, Abdus-Salam RA, Randawa A, Abdullahi H, Daneji SM, Omo-Omorodion BI. Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria. PLoS One. 2019 Apr 8;14(4):e0213719. doi: 10.1371/journal.pone.0213719. eCollection 2019.
PubMed 30958834Brogaard L, Glerup Lauridsen K, Lofgren B, Krogh K, Paltved C, Boie S, Hvidman L. The effects of obstetric emergency team training on patient outcome: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2022 Jan;101(1):25-36. doi: 10.1111/aogs.14263. Epub 2021 Oct 8.
PubMed 34622945Amosse F, Boene H, Kinshella MW, Drebit S, Sharma S, Makanga PT, Vala A, Magee LA, von Dadelszen P, Vidler M, Sevene E, Munguambe K; Community Level Interventions for Pre-eclampsia (CLIP) Working Group. Implementation of a Community Transport Strategy to Reduce Delays in Seeking Obstetric Care in Rural Mozambique. Glob Health Sci Pract. 2021 Mar 15;9(Suppl 1):S122-S136. doi: 10.9745/GHSP-D-20-00511. Print 2021 Mar 15.
PubMed 33727325
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
- ClinicalTrials.gov ID
- NCT07248605
- Acronym / sponsor ID
- Applying Emergency Obstetric C
- Conditions
- Emergency Care, Obstetric
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Mansoura UniversityUniversity, hospital or other
- Study start
- 1 Mar 2026 (estimated)
- Primary completion
- 1 Dec 2026 (estimated)
- Study completion
- 1 Jan 2027 (estimated)
- First posted
- 25 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to investigate the effect of applying emergency obstetric care protocol on maternity nurses' practices.
Detailed description
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices Obstetrical emergencies are life threatening medical condition that occurs during pregnancy, labor or the postpartum period. Emergency Obstetric Care (EmOC) is categorized as Basic Emergency Obstetric Care (BEmOC) and Comprehensive Emergency Obstetric Care [CEmOC].
Treatments within BEmOC include the administration of parenteral antibiotics, oxytocics and anticonvulsants, manual removal of the placenta, removal of retained products of conception and assisted vaginal delivery. Comprehensive Emergency Obstetric Care (CEmOC) includes all of these plus blood transfusion and cesarean section.
The World Health Organization (WHO), posits the following conditions as obstetrical emergencies, ectopic or tubal pregnancy, abruptio placenta, placenta previa, sever preeclampsia \& eclampsia or pregnancy induced hypertension, premature rupture of membranes, amniotic fluid embolism, inversion or rupture of uterus, placenta accreta, prolapsed umbilical cord, shoulder dystocia, postpartum hemorrhage and postpartum infection.
Globally, every year an estimated 287,000 women die of complications during pregnancy or childbirth. There are a variety of obstetrical emergencies of pregnancy that can threaten the well-being of both mother and newborn baby (WHO, 2019). Worldwide, obstetrical emergencies are the leading causes of maternal mortality particularly in developing countries where lack of transport facilities, financial constraints due to poverty, illiteracy, ignorance, inadequate health infrastructure and meager blood bank facilities.
Lack of nurse's knowledge and skills on how to recognize and manage obstetrical emergencies contribute to substandard institutional care and preventable maternal deaths. Many studies have shown that health workers lack for the knowledge and skills to provide good quality care.
Proper knowledge about identification signs, emergency measures to be taken and a well-equipped obstetrics unit can reduce maternal mortality by almost 35- 40%, Maternity nurses are the main frontline skilled health personnel providing maternity care services globally. When educated, trained and regulated to national and international standards, maternity nurses can provide 90% of the needed essential care for women and newborns.
Most maternal complications are difficult to predict and prevent since any pregnant woman can develop them at any time during pregnancy, delivery or in the postpartum period. Thus, provision of effective, affordable and quality emergency obstetric care (EmOC) and efficient referral system plays pivotal role in promoting safe motherhood.
Immediate nursing management of the emergency cases is depending on the prompt action of the nurse and midwife recognition of the problem. She needs to recognize the onset of complications, perform intervention and practical skills that enables her to give emergency obstetrical care including life saving measures when needed being technically up-to-date on the latest evidence based skills and identifying those who are at the potential risk and referring them for expert care.
Although, pregnancy and childbirth is a normal process, complications may occur any time during antenatal or post natal period. Every delivery must be managed as an obstetrical emergency and all the preparation done to deal these emergencies. Skilled health professionals working in favorable environment should be available and able to attend to every pregnancy, delivery and must be available 24 hours a day, seven days a week.
Obstetrics emergency protocols are strategies geared towards reducing maternal deaths. The core elements of obstetrics emergency protocols include availability of skilled personnel to carry out effective interventions during pregnancy, delivery and postnatal period, availability of essential drugs and supplies and patient referrals.
The goals of emergency obstetric care protocol of critically ill women involve intensive monitoring and physiologic support for women with life-threatening to detect abnormal findings or subtle signs and symptoms of developing complications. Thus, the nursing contribution is very important to the rescue and mobilization of the team process to provide proper immediate care for the mother and the newborn and prevent any complication to be arises.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- * The researcher will attend labor and delivery unit, emergency obstetric operating room and obstetric departments (9-10-15-18) at Mansoura University Hospital 3 days per week in cold days (Saturday, Monday and Wednesday) from 9:00 a.m. to 2:00 p.m. until the study sample is complete * The emergency obstetric care protocol will be carried out at pre-mentioned setting based on the results obtained from pre training assessment using the interviewing questionnaire and observational checklist. * Implementation of teaching and training will take (12) weeks. Nurses will be divided into (12) groups. Each group will include five nurses according to working circumstances and nurse's physical and mental readiness. * The overall sessions will be six sessions for each group divided into three theoretical sessions with a duration will be ranged from 30-45minutes for each, and three practical sessions while the duration of each practical session will be ranged from 30-60 minutes, The content will
| Arm | Type | Receives |
|---|---|---|
| maternity nurses | Experimental | Procedure: educational bookletmaternity nurses who are works in predetermined setting will be recruited except nurses who are on long vocations at the time of data collection or have administrative work. |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- of maternity nurses who are works in Obstetric departments , Emergency obstetric operating room and delivery unit
Key exclusion criteria (1 listed)
- nurses who are on long vocations at the time of data collection or have administrative work.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| educational bookletApplying Emergency Obstetric Care Protocol on Maternity Nurses' Practices | Procedure or surgery | maternity nurses |
Primary outcome
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Time frame: after3 months of intervention
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Time frame: after 3months of intervention
Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2026.
- Results publication: PubMed 30958834Okonofua F, Ntoimo LFC, Ogu R, Galadanci H, Gana M, Adetoye D, Abe E, Okike O, Agholor K, Abdus-Salam RA, Randawa A, Abdullahi H, Daneji SM, Omo-Omorodion BI. Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria. PLoS One. 2019 Apr 8;14(4):e0213719. doi: 10.1371/journal.pone.0213719. eCollection 2019.
- Results publication: PubMed 34622945Brogaard L, Glerup Lauridsen K, Lofgren B, Krogh K, Paltved C, Boie S, Hvidman L. The effects of obstetric emergency team training on patient outcome: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2022 Jan;101(1):25-36. doi: 10.1111/aogs.14263. Epub 2021 Oct 8.
- Results publication: PubMed 33727325Amosse F, Boene H, Kinshella MW, Drebit S, Sharma S, Makanga PT, Vala A, Magee LA, von Dadelszen P, Vidler M, Sevene E, Munguambe K; Community Level Interventions for Pre-eclampsia (CLIP) Working Group. Implementation of a Community Transport Strategy to Reduce Delays in Seeking Obstetric Care in Rural Mozambique. Glob Health Sci Pract. 2021 Mar 15;9(Suppl 1):S122-S136. doi: 10.9745/GHSP-D-20-00511. Print 2021 Mar 15.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Rania Metwally El-kurdy, doctor contact
Eman Nabil Ibrahim, doctor principal investigator
Mansoura Uneversity
Eman Nabil Ibrahim principal investigator
Specialist Nurse
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing educational booklet in people with Emergency Care and Obstetric, run by Mansoura University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 3 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Eman Nabil Ibrahim, PHd (+201097795102, neman0050@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices (time frame: after3 months of intervention). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07248605, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Mar 2026.