ArticleAJOG global reports2022
Impact of WHO Labor Care Guide on reducing cesarean sections at a tertiary center: an open-label randomized controlled trial.
Article in AJOG global reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07445373 (Role of WHO Labour Care Guide in Improving Maternal and Fetal Outcomes in Primi and Multigravida in Labour), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Role of WHO Labour Care Guide in Improving Maternal and Fetal Outcomes in Primi and Multigravida in Labour
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Maternal near miss incidence ratio, its causes and risk factors in East Africa: a systematic review and meta-analysis.Reproductive health · 2025Pooled it
- Effects of the WHO Labour Care Guide on cesarean section in India: a pragmatic, stepped-wedge, cluster-randomized pilot trial.Nature medicine · 2024Trial
- Associations between organizational readiness and implementation fidelity in national implementation of WHO's labour care guide in Sweden: a prospective observational study.Implementation science communications · 2026Article
- Acceptability of the WHO labor care guide among midwives in Tanzania: an exploratory qualitative study.Frontiers in public health · 2026Article
- The Impact of Implementing an Evidence-Based Intrapartum Care Quality Improvement Program on Childbirth Outcomes for Laboring Women: An Interrupted Time-Series Analysis.Journal of nursing management · 2026Article
- A Comparative Observational Study on the WHO Labour Care Guide Versus the WHO Modified Partograph on Labour Outcome.Cureus · 2026Article
- Effects of World Health Organization labor care guide on maternal and neonatal outcomes: A systematic review and meta-analysis.International journal of reproductive biomedicine · 2025Article
- Change management - digitalisation of labor room: A mixed-methods study to assess the level of acceptance of 'Arc Partograph' application to go paperless in labor rooms.European journal of obstetrics & gynecology and reproductive biology: X · 2025Article
- Labor curves based on cervical dilatation over time and their accuracy and effectiveness: A systematic scoping review.PloS one · 2024Article
- Customization and acceptability of the WHO labor care guide to improve labor monitoring among health workers in Uganda. An iterative development, mixed method study.PLOS global public health · 2024Article
- When a caesarean section is necessary: Analysis of cesarean sections performed in the Republic of Turkey in 2022 in accordance with the World Health Organization Multi-Country Research Guidelines.Turkish journal of obstetrics and gynecology · 2023Article
- Global research priorities related to the World Health Organization Labour Care Guide: results of a global consultation.Reproductive health · 2023Article
- The Effects of Evidence-based Management of Labor and Normal Delivery on the Satisfaction and Childbirth Experience among Primiparous Women: A Randomized Clinical Trial.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization Labor Care Guide was introduced in December 2020 to implement World Health Organization (WHO) guidelines on intrapartum care for a positive childbirth experience.
objectiveThis study aimed to determine the effect of the WHO Labor Care Guide on labor outcomes, especially in reducing primary cesarean deliveries, and its acceptability by healthcare providers. STUDY
designThis open-label randomized control trial was conducted from September 2021 to December 2021 on 280 low-risk antenatal women admitted for delivery at a busy tertiary care institute in North India. After informed consent, women were allocated into the study and control groups. Labor monitoring was performed using the WHO Labor Care Guide in the study group and the World Health Organization-modified partograph in the control group. Women who had a cesarean delivery in the latent phase of labor were excluded from the study. The primary outcome was mode of delivery, whereas the secondary outcomes were duration of active labor, maternal complications (postpartum hemorrhage and puerperal sepsis), duration of hospital stay, Apgar score at 5 minutes, and neonatal intensive care unit admission. The labor outcomes in both groups were compared. In the study group, the acceptability, difficulty, and satisfaction levels of the users were assessed using a 5-point Likert scale. The "learning curve" for the use of the Labor Care Guide (LCG) was determined. SPSS software (version 21.0; IBM Corporation, Chicago, IL) was used for statistical analysis.
resultsAfter excluding women who underwent cesarean delivery in the latent phase, 136 women in the study group and 135 women in the control group were observed for labor outcomes. The cesarean delivery rate was 1.5% in the study group vs 17.8% in the control group (
conclusionThe WHO Labor Care Guide is a simple labor monitoring tool for the reducing primary cesarean delivery rate without increasing the duration of hospital stay and fetomaternal complications.
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