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NCT Number: NCT07121491

Effects and Childbirth Experience Between Zhang and WHO Partograph

This study compared the labour outcomes and childbirth experience between Zhang and WHO partograph.

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Key information

Conditions

Outcome, Adverse Birth Childbirth Experience Female Urogenital Diseases and Pregnancy Complications Pregnancy Complications Urogenital Diseases

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

Hospital Canselor Tuanku Muhriz

Kuala Lumpur, Cheras, 56000, Malaysia

About this study

A prospective cross-sectional observational study that compared the cervical os dilatation i.e 4 and 6 cm upon admission to the labour room. Eligible patients were recruited during postnatal period in the ward before discharged home. The details of clinical characteristics and labour outcomes were collected. Patients then answered the CEQ-My questionnaire form that assess their childbirth experiences. The primary outcome measure was caesarean section rate and the secondary outcome measure was the childbirth experience.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • cervical dilatation 4 or 6 cm
  • singleton
  • cephalic presentation
  • at 37 weeks or more
  • normal cardiotocograph tracing on admission
  • understands Malay or English
  • no uterine scar
  • no pre-existing medical disorders
  • no antenatal complications such as diabetes or hypertension

Exclusion criteria

  • multiple pregnancy
  • none cephalic presentation
  • abnormal admission cardiotocograph tracing
  • less than 37 weeks gestation
  • refusal to participate

Treatment and study plan

Primary outcomes

  1. Caesarean section rate

    Time frame: from cervical dilatation of 4 or 6 cm through study completion up to delivery of the foetus

    Rate of delivery via caesarean section in percentage

Secondary outcomes

  1. Childbirth experience

    Time frame: from Day 1 throughout study completion, an average of 7 days after delivery

    Assessment of experience during delivery using questionnaire based on based on total childbirth experience questionnaire score using Likert scale from 1 to 4. Score of 4 is a total agreement and score of 1 is total disagreement.

Other outcomes

  1. Use of analgesia

    Time frame: From cervical dilatation of 4 or 6 cm until delivery of fetus

    Number of patients needed analgesia in percentage

  2. Oxytocin use

    Time frame: From cervical dilatation of 4 or 6 cm until delivery of fetus

    Number of women who needed oxytocin infusion

  3. Duration of hospital stay

    Time frame: From predelivery throughout study completion, an average of 5 days

    Duration from admission until discharge either 3 days or less or more than 3 days

  4. Admission into neonatal care intensive unit

    Time frame: From birth of the neonate until throughout study completion, an average of 7 days after birth

    Number of neonates needed to be admitted into neonatal care intensive unit

  5. Apgar score at 5 minutes

    Time frame: From delivery of neonate until 5 minutes after delivery

    Neonatal Apgar score less than 7 at 5 minutes after delivery based on the Apgar score with 0 the lowest and 10 the highest

Sponsors and collaborators

Lead sponsor

National University of Malaysia

Other

Registry information

Official study title

The Effect Of Zhang's Guidelines Versus Who Partograph On Childbirth Experience According To Ceq-My

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 13, 2025
Registry last updated
Aug 13, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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