Evaluating a Two Stage Intrapartum Fetal Assessment in India

Intrapartum Fetal Monitoring Clinical Trial

Official title: Evaluating the Impact of Introducing a Two Stage Intrapartum Fetal Monitoring Assessment Using Intermittent Auscultation and Cardiotocography in a Government Hospital, Nagpur, India

Status Completed

Clinical Trial Summary

An intrapartum fetal monitoring training programme (on intermittent auscultation and cardiotocography) will be delivered at Government Medical College (GMC) to all relevant staff. This quality improvement project and training evaluation aims to assess and evaluate the impact of this training. This will allow the investigators to understand if it is feasible and acceptable to staff, increases knowledge and improves patient outcomes.

Clinical Trial Description

As part of Misoprostol or Oxytocin for Labour Induction (MOLI) randomised controlled trial (RCT) (CTRI no. NCT03749902), Government Medical College (GMC) plans to increase the number of cardiotocography (CTG) machines available on labour ward and provide a United Kingdom (UK) based obstetrician to deliver training on cardiotocography (CTG) interpretation in order to improve fetal monitoring for this high risk population.

An intrapartum fetal monitoring training programme (on intermittent auscultation and cardiotocography) will be delivered at Government Medical College (GMC) to all relevant staff. This quality improvement project and training evaluation aims to assess and evaluate the impact of this training. This will allow the investigators to understand if it is feasible and acceptable to staff, increases knowledge and improves patient outcomes. It will be done through staff questionnaires, pre-and-post test scores and by examining the effects on maternal and perinatal outcomes using Kirkpatrick's training evaluation.

The whole project aims:

• To understand current practice and maternal and perinatal outcomes in Government Medical College (GMC)

• To improve intrapartum fetal monitoring with intermittent auscultation and cardiotocography (CTG)

• To improve perinatal morbidity and mortality rates

• To reduce caesarean section rates for presumed fetal compromise ;

Related Conditions & MeSH terms

• Intrapartum Fetal Monitoring

• NCT number: NCT04084353
• Study type: Observational
• Source: University of Liverpool
• Status: Completed
• Start date: August 1, 2019
• Completion date: March 16, 2020