[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"labor-and-delivery\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:labor-and-delivery":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,41,73],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100627187","role-of-the-who-labour-care-guide-in-improving-maternal-and-fetal-outcomes-100627187",false,"NCT07445373","Role of the WHO Labour Care Guide in Improving Maternal and Fetal Outcomes","Role of WHO Labour Care Guide in Improving Maternal and Fetal Outcomes in Primi and Multigravida in Labour","Inclusion Criteria:\n\n* patient aged 20 to 40 years .\n* gestational age 37 to 42 weeks as per LMP.\n* parity UpTo 4\n* singketon pregnancy on ultrasound\n* patient presenating In labor as per operational definitons\n\nExclusion Criteria:\n\n* patients with breech presenation\n* pregnant women in whom trial of labor given outside the hospital,\n* women with complications like gestational diabetes,antepartum hemorrhage,severe preeclampsia\u002Feclampsia and medical disorders complicating the pregnancy\n* premature rupture of membranes","FEMALE","20 Years","40 Years",{"count":20,"type":21},114,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this randomized controlled trial is to compare the effectiveness of WHO labour care guide (LCG) with the WHO modified partogragh in improving the maternal and fetal outcomes among primigravida and multigravida in active labour .the study evaluates whether use of the Labour care guide leads to improved labour monitoring ,timely clinical decision making and better maternal and neonatal outcomes .this study will answer either of the two questions that is\n\n* There is no difference in maternal and fetal outcomes between women monitored with Wo labour care guide (LCG) and those monitored with the Modified Partogragh\n* There is a difference in maternal and fetal outcomes between women monitored with the WHO Labour care guide (LCG) and those monitored the modified Partogragh .",[27],"Labor and Delivery","NOT_YET_RECRUITING","2026-02-25",{"date":31,"type":32},"2026-03-03","ACTUAL",{"date":34,"type":21},"2026-12",{"date":36,"type":21},"2027-06",{"name":38,"class":39},"Khyber Teaching Hospital","OTHER",1,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":46,"acronym":47,"eligibilityCriteria":48,"healthyVolunteers":11,"sex":16,"minAge":49,"maxAge":4,"enrollmentInfo":50,"targetDuration":4,"studyType":22,"phases":52,"briefSummary":54,"conditions":55,"keywords":58,"overallStatus":63,"whyStopped":4,"lastUpdateSubmitDate":64,"lastUpdatePostDateStruct":65,"startDateStruct":67,"completionDateStruct":69,"leadSponsor":71,"locationsCount":40},"100598813","phase-3-ropivacaine-and-fentanyl-for-labor-epidural-initiation-100598813","NCT07076368","Ropivacaine and Fentanyl for Labor Epidural Initiation","Determination of the 90% Effective Volume (ED90) of Epidural 0.1% Ropivacaine and Fentanyl for Labor Analgesia Initiation in Patients Receiving a Dural-Puncture Epidural Technique","EV90_DPE","Inclusion Criteria:\n\n* Patients with singleton vertex pregnancies in active labor (latent or spontaneous labor or after induction of labor)\n* Cervical dilatation between 2 and 7 cm\n* Requesting neuraxial labor analgesia\n* Age 18 or older\n\nExclusion Criteria:\n\n* Significant obstetric disease (e.g., pre-eclampsia, major cardiac disease)\n* Chronic pain or chronic opioid use\n* BMI ≥ 50\n* Multiple gestations\n* Allergy or anaphylaxis to local anesthetic\n* Fetal compromise or non-reassuring fetal trace\n* Age under 18\n* Inability to speak and understand English or Spanish","18 Years",{"count":51,"type":21},50,[53],"PHASE3","This study is being done to determine the most effective dose of medicine to use to initially provide effective pain relief within the first 30 minutes of receiving an epidural for pain labor during labor. The study team will also study any side effects related to the epidural medication and patients' satisfaction with the quality of pain relief after receiving the epidural.",[56,27,57],"Pregnancy","Labor Analgesia",[59,60,61,62],"epidural","labor analgesia","pregnancy","obstetric anesthesia","RECRUITING","2026-01-23",{"date":66,"type":32},"2026-01-27",{"date":68,"type":32},"2025-10-24",{"date":70,"type":21},"2026-07-31",{"name":72,"class":39},"University of California, San Francisco",{"id":74,"slug":75,"hasResults":11,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":79,"eligibilityCriteria":80,"healthyVolunteers":11,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":81,"targetDuration":4,"studyType":22,"phases":83,"briefSummary":84,"conditions":85,"keywords":89,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":96,"lastUpdatePostDateStruct":97,"startDateStruct":99,"completionDateStruct":101,"leadSponsor":103,"locationsCount":40},"100581207","visual-biofeedback-through-transperineal-ultrasound-during-the-expulsive-phase-of-labour-to-improve-maternal-childbirth-satisfaction-100581207","NCT06847308","Visual Biofeedback Through Transperineal Ultrasound During the Expulsive Phase of Labour to Improve Maternal Childbirth Satisfaction","Visual Biofeedback (VB) Through Trans-Perineal Ultrasound (TPU) During the Active 2nd Stage of Labour to Improve Maternal Childbirth Satisfaction: a Randomised Controlled Trial","RCT:VB-TPU","INCLUSION criteria (all must be met):\n\n1. Voluntary written informed consent of the participant.\n2. Term (37-42w) singleton gestations.\n3. Vaginally nulliparous (no previous vaginal birth \\> 20 weeks of gestation).\n4. Fetus in cephalic presentation, without any major congenital or chromosomal anomalies.\n5. Admitted to the delivery unit in labour, regardless of the onset (spontaneous or induced).\n6. Epidural analgesia in situ.\n7. Non-pathological CTG at the time of recruitment (2015 FIGO classification).\n\nEXCLUSION criteria (if one or more is present):\n\n* Significant psychiatric comorbidity (psychiatric follow-up during pregnancy, or active (psycho-pharmacological) treatment).\n* History of severe PFDs\u002Fsurgery (or any other condition affecting pelvic floor function\u002Fanatomy, besides pregnancy and delivery).\n* Significant neurological disease e.g., spinal injury, multiple sclerosis, diabetic neuropathy, etc.\n* Significant connective tissue disorders (e.g., Ehlers-Danlos syndrome).\n* Severe active maternal (pregnancy-related) comorbidity: non-exhaustive e.g., severe hypertensive disorder, significant antepartum haemorrhage, sepsis, thromboembolism, severe pre-existing cardiac\u002Frespiratory\u002Fneurological disease, etc. Well-controlled comorbidities will not be considered exclusion criteria (non-exhaustive e.g., well-controlled (gestational) diabetes, hypertensive disorders of pregnancy, PROM without signs of intra-amniotic infection, etc.).\n* Linguistic barriers - not able to give written informed consent in Dutch.\n* Severe visual impairment (sufficient to the receipt\u002Fcomprehension of visual biofeedback).",{"count":82,"type":21},488,[24],"Childbirth is generally regarded as a positive life-changing experience. Up to 44% of women may however experience this as a traumatic event, with 3% suffering from post-traumatic stress disorder after childbirth. The aetiology of a traumatic childbirth experience is a complex interplay between pre-birth, intra-partum and postnatal factors. Feelings of loss of control, lack of interaction with the obstetric caregiver and lack of emotional or practical support during labour are important contributing factors. This trial aims to investigate the effect of providing Visual Biofeedback (VB) through Trans-Perineal Ultrasound (TPU) during the active 2nd stage of labour on maternal childbirth satisfaction. The hypothesis is that the intervention will improve patient-caregiver communication and enhance parturient women's sense of control and empowerment, ultimately improving the birth experience.",[86,27,87,88],"Labor Stage, Second","Satisfaction With Care","Childbirth",[90,91,92,93,94,95],"2nd stage of labour","visual biofeedback","maternal childbirth satisfaction","obstetrics","ultrasound","trans-perineal ultrasound","2025-02-20",{"date":98,"type":32},"2025-02-26",{"date":100,"type":21},"2025-03-01",{"date":102,"type":21},"2028-02-28",{"name":104,"class":39},"Universitaire Ziekenhuizen KU Leuven"]