Best Partograph Action Line to Prevent Prolonged Labour

• Status: Completed
• Trial end date: 2013-04-01
• Target enrollment: 0
• Participant gender: Female

Summary

Objective: To compare active labour outcomes in nulliparous women at term supervised with a partograph with the action line placed at either 2 hours or 4 hours and to determine whether the 2-hour action line placement is better for the prevention of prolonged labour.

Design: Randomised controlled trial.

Setting: A university teaching hospital in Nigeria.

Population: Nulliparous women in labour at term.

Method: Nulliparous women in labour were randomly supervised with a partograph with the action line placed at 2 hours (n=320) or 4 hours (n=320). Oxytocin augmentation, when required, was used only at the 2-hour (n=87) or 4-hour (n=61) action lines. Progress monitoring was the same in both groups.

Main outcome measure: The primary outcome measure was the prolonged labour rate. The secondary outcome measures were the mode of delivery and neonatal outcome.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: University of Benin
• Treatments: Oxytocin

Criteria

Inclusion Criteria:

• Healthy nulliparous patients at term in spontaneous active phase labour with singleton pregnancies and intact fetal membranes at first vaginal examination in labour ward

Exclusion Criteria:

• Multiparous patients

• Multiple pregnancies

• Pre-existing medical conditions complicating pregnancy

• Non-cephalic presenting fetus at term

• Prelabour rupture of membrane at term

• Preterm labour

• Poor fetal growth in pregnancy