LabourNCT07550439
Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates
A study testing WHO Labour Care Guide and Partogram in people with Labour, run by Pak Emirates Military Hospital.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Labour
- What is being tested?
- WHO Labour Care Guide and Partogram
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 174 participants
- Where
- No sites listed yet
- Study dates
- May 2026to Dec 2026
- 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 18 to 45 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- 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.
Who cannot join
- 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.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
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.
Read the detailed description
After approval from ethical review committee, total 174 women presenting in the inpatient Department of Obstetrics \& Gynaecology, Pak Emirates Military Hospital, Rawalpindi, fulfilling the inclusion criteria will be selected. Informed consent will be taken from each woman. Age, gestational age, parity, height, weight and BMI will be noted. 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. Cesarean section will be noted in both groups. This all data including demographic data will be recorded on a specially designed proforma
- Conditions
- Labour
- Being tested
- WHO Labour Care Guide, Partogram
- Keywords
- Labour Care Guide
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
WHO Labour Care GuideOther
Labour will be monitored using WHO Labour care guide
PartogramOther
Labour will be monitored using partogram
| Study group | Role | What they receive |
|---|---|---|
| Group A | Experimental | In group A, patients will receive care using WHO Labour Care Guide. Receives: Other: WHO Labour Care Guide |
| Group B | Placebo comparator | In group B, patients will be monitored using WHO partograph. Receives: Other: Partogram |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency of Cesarean Section
To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.
Measured: 24 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2026
- Study startMay 2026 (estimated)
- Primary completionNov 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for LabourStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.
- Masking
- None (open label)
- Enrolment
- 174 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Pak Emirates Military Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Salma Nisar, Pak Emirates Military Hospital
- Investigators
- Salma Nisar, MBBS, FCPS, Principal investigator, Pak Emirates Military Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07550439
- Sponsor's protocol ID
- 21042026
- Status last verified
- Apr 2026
- First submitted
- 19 Apr 2026
- Last updated
- 24 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 24 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates
- ClinicalTrials.gov ID
- NCT07550439
- Acronym / sponsor ID
- 21042026
- Conditions
- Labour
- Keywords
- Labour Care Guide
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 174 participants (estimated)
- Lead sponsor
- Pak Emirates Military HospitalUniversity, hospital or other
- Study start
- May 2026 (estimated)
- Primary completion
- Nov 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 24 Apr 2026 (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.
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.
Detailed description
After approval from ethical review committee, total 174 women presenting in the inpatient Department of Obstetrics \& Gynaecology, Pak Emirates Military Hospital, Rawalpindi, fulfilling the inclusion criteria will be selected. Informed consent will be taken from each woman. Age, gestational age, parity, height, weight and BMI will be noted. 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. Cesarean section will be noted in both groups. This all data including demographic data will be recorded on a specially designed proforma
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.
| Arm | Type | Receives |
|---|---|---|
| Group A | Experimental | Other: WHO Labour Care GuideIn group A, patients will receive care using WHO Labour Care Guide. |
| Group B | Placebo comparator | Other: PartogramIn group B, patients will be monitored using WHO partograph. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- 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.
Key exclusion criteria (3 listed)
- 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.
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 |
|---|---|---|
| WHO Labour Care GuideLabour will be monitored using WHO Labour care guide | Other | Group A |
| PartogramLabour will be monitored using partogram | Other | Group B |
Primary outcome
Frequency of Cesarean Section
Time frame: 24 hours
To determine the frequency of caesarean section between World Health Organization Labour Care Guidelines versus partograph monitoring of labour.
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 24 Apr 2026.
- Individual participant dataSharing planned: Undecided
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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.
Salma Nisar, MBBS, FCPS principal investigator
Pak Emirates Military Hospital
Questions about this trial
What is this clinical trial studying?
A study testing WHO Labour Care Guide and Partogram in people with Labour, run by Pak Emirates Military Hospital.
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 2 inclusion and 3 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 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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 Dr Sana Murtaza, MBBS (+92 333 666188 ext. +92, sanamurtaza093@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency of Cesarean Section (time frame: 24 hours). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 24 Apr 2026.