Caesarean Section Rate Clinical Trial
Official title:
Analysis of Caesarean Section Rate According to the 10 Group Robson Classification; A Multicenter Prospective Study in Egypt
NCT number | NCT03794063 |
Other study ID # | ERC-RCOG |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | March 10, 2019 |
Est. completion date | August 1, 2019 |
A prospective cross- sectional study will be conducted to implement the Robson Classification to assess, analyze and compare Caesarean section rate of the participating hospital over the period of three months. The Robson implementation manual will be used as a tool guide for the study.
Status | Recruiting |
Enrollment | 3000 |
Est. completion date | August 1, 2019 |
Est. primary completion date | August 1, 2019 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility |
Inclusion criteria: - Women delivering at = 28 weeks gestation Exclusion Criteria: - Women delivering at < 28 weeks gestation |
Country | Name | City | State |
---|---|---|---|
Egypt | Egyption society of Royal college of obstetricians and gynaecologist | Cairo |
Lead Sponsor | Collaborator |
---|---|
Egyptian Society of Royal College of Obstetricians and Gynaecologists |
Egypt,
Appropriate technology for birth. Lancet. 1985 Aug 24;2(8452):436-7. — View Citation
Betrán AP, Vindevoghel N, Souza JP, Gülmezoglu AM, Torloni MR. A systematic review of the Robson classification for caesarean section: what works, doesn't work and how to improve it. PLoS One. 2014 Jun 3;9(6):e97769. doi: 10.1371/journal.pone.0097769. eCollection 2014. Review. — View Citation
Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS One. 2016 Feb 5;11(2):e0148343. doi: 10.1371/journal.pone.0148343. eCollection 2016. — View Citation
Boatin AA, Cullinane F, Torloni MR, Betrán AP. Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review. BJOG. 2018 Jan;125(1):36-42. doi: 10.1111/1471-0528.14774. Epub 2017 Jul 17. — View Citation
Chaillet N, Dumont A. Evidence-based strategies for reducing cesarean section rates: a meta-analysis. Birth. 2007 Mar;34(1):53-64. Review. — View Citation
Robson M, Hartigan L, Murphy M. Methods of achieving and maintaining an appropriate caesarean section rate. Best Pract Res Clin Obstet Gynaecol. 2013 Apr;27(2):297-308. doi: 10.1016/j.bpobgyn.2012.09.004. Epub 2012 Nov 3. Review. — View Citation
Robson MS (2001) Classification of caesarean sections. Fetal and Maternal Medicine Review 12: 23-39.
Torloni MR, Betran AP, Souza JP, Widmer M, Allen T, Gulmezoglu M, Merialdi M. Classifications for cesarean section: a systematic review. PLoS One. 2011 Jan 20;6(1):e14566. doi: 10.1371/journal.pone.0014566. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | caesarean section rate | absolute and relative caesarean section rate | three months | |
Secondary | Postpartum haemorrhage | Blood loss of more than 500 mls at vaginal birth Blood loss of more than 1000 mls at caesarean section |
from 24 hours to 6 weeks after the delievry | |
Secondary | Maternal morbidity | Admission to Intensive care unit after the delivery | 7 days after the delivery | |
Secondary | Neonatal morbidity | Admission of newborn to Neonatal intensive care unit | 7 days of the delivery | |
Secondary | Maternal mortality | maternal death from 24 hours to 42 days after the delivery | 42 days after the delivery | |
Secondary | Neonatal mortality | death during the first 28 days of life (0-27 days | 28 days after the delivery |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04898244 -
Obstetricians' Views on the Reasons for Egypt's High Caesarean Section Rates
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