Evaluating a Two Stage Intrapartum Fetal Assessment in India

University of Liverpool

Status: Completed

Conditions: Intrapartum Fetal Monitoring

Treatments: Other: Intrapartum fetal monitoring training and quality improvement project

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT04084353

4835

Details and patient eligibility

About

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.

Full 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

Enrollment: 6,682 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• All women that deliver within the obstetrics department in Government Medical College (GMC) during the study period (8 months)

Exclusion criteria

• Deliveries in A&E/medical wards
• Home deliveries
• Patients delivered in other hospitals/ambulance deliveries
• Macerated still birth
• Fresh still birth with no fetal heart on admission to hospital

Trial design

6,682 participants in 1 patient group

Delivered women

Description:

Maternal and perinatal outcomes will be collected prospectively on all patients that deliver in Government Medical College (GMC) Hospital before, during and after the training over the study period (8 months) in order to evaluate the impact of the training.

Treatment:

Other: Intrapartum fetal monitoring training and quality improvement project