Comparing two methods for monitoring labor in first-time mothers

Comparative Study Between Using WHO Labour Care Guide & Modified WHO Partograph in Reducing Primary Cesarean Section in Primiparous Women in Active First Stage of Labour.

Kasr El Aini Hospital · NCT06537089

This study is testing two different ways to monitor labor in first-time mothers to see which method helps them have a better delivery experience.

Quick facts

Study typeObservational
Enrollment230 (estimated)
Ages18 Years to 35 Years
SexFemale
SponsorKasr El Aini Hospital (other)
Locations1 site (Cairo, Old Cairo)
Trial IDNCT06537089 on ClinicalTrials.gov

What this trial studies

This observational study compares the effectiveness of the modified WHO partograph and the new WHO labour care guide in monitoring the labor process of primiparous women. Participants will be randomly assigned to one of the two monitoring methods during the first stage of labor. The study aims to assess the progress of labor and the mode of delivery based on the chosen monitoring approach. By evaluating these two methods, the study seeks to determine which is more effective in ensuring positive labor outcomes.

Who should consider this trial

Good fit: Ideal candidates for this study are primiparous women aged 18-35, with a term gestation between 37 and 40 weeks and a healthy BMI.

Not a fit: Patients with medical comorbidities or obstetrical complications, as well as those receiving intrapartum epidural analgesia, may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve labor monitoring practices, leading to better outcomes for first-time mothers and their babies.

How similar studies have performed: Other studies have shown varying success with similar monitoring approaches, but this specific comparison is novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Primiparous women.
* Term gestation between 37 and 40 weeks.
* Maternal age from 18 -35 years
* Body mass index BMI of 18.5 to 29.9 kg/m2
* Cephalic presentation. 6. Active first stage of labour

Exclusion Criteria:

* Women with any medical comorbidities, such as (hypertension, diabetes mellitus, renal disease, or pulmonary disease).
* Women with presence of any obstetrical complications, such as preterm birth, multiple gestation, breech presentation, postdated pregnancy, or bad obstetrical history.
* women who were given intrapartum epidural analgesia.

Where this trial is running

Cairo, Old Cairo

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Labor Onset and Length Abnormalities, 37 or More Completed Weeks of Gestation, First Birth, labour Monitoring, primiparous

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.