The Norwegian World Health Organisation Labour Care Guide Trial (NORWEL)

Recruiting now · Not applicable

Conditions studied: Labor Dystocia, Labor Complication, Labor Onset and Length Abnormalities, Labor (Obstetrics)--Complications, Experience, Life, Progression, Cesarean Section Complications, Apgar; 4-7 at 1 Minute

In brief

Appropriate and timely care during birth is critical to the survival and health of women and their babies. In 2020, the World Health Organization (WHO) presented the Labour Care Guide (LCG) as the new recommended tool for monitoring birth and assessing progression, replacing the WHO partograph. This evidence-based guide was designed to ensure improved quality and safety of care, and to avoid unnecessary interventions during birth. The LCG was developed to be used in all settings globally, but it has only been tested in health facilities in South America, Asia and Africa, while it has not been tested in high-income settings. Implementing a new guideline for monitoring birth is a comprehensive operation that will affect both the national economy, health systems, and individual patients; therefore, further research on the possible advantages is needed before national enrolment. Hence, the trial proposed in this application is crucial to form the required foundation of knowledge. The trial will be conducted in labour wards at ten hospitals, covering all health regions in Norway, and the established Norwegian Research Network for Clinical Studies in Obstetrics (NORBIRTH), with dedicated local principal investigators, will provide a robust research environment. This trial will test the effect of the LCG. Results from this trial will provide knowledge needed to determine a future implementation of the LCG in Norway.

Key facts

Study ID

NCT05791630

Run by

Ostfold Hospital Trust

People needed

23650

Starts

2025-04-01

Expected to finish

2030-12-31

Last updated by the study team

2025-04-04

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: accepted.

You may qualify if…

• Women in active labour
• Labour and delivery at study sites

You may not qualify if…

• None

Where it is running

• Akershus University Hospital, Ahus — Nordbyhagen, Akershus, Norway (enrolling)
• Vestre Viken Helseforetak, Drammen — Drammen, Buskerud, Norway (enrolling)
• Sørlandet Hospital Kristiansand — Kristiansand, Kristiansand, Norway (enrolling)
• Oslo university hospital Rikshospitalet — Oslo, Oslo, Norway (enrolling)
• Oslo University Hospital Ullevål — Oslo, Oslo, Norway (enrolling)
• Stavanger University Hospital — Stavanger, Rogaland, Norway (enrolling)
• University Hospital Northern Norway, Tromsø — Tromsø, Troms, Norway (enrolling)
• St.Olav University Hospital — Trondheim, Trøndelag, Norway (enrolling)
• Haukeland University Hospital — Bergen, Vestland, Norway (enrolling)
• Ostfold Hospital Trust — Greåker, Østfold fylke, Norway

Full record on ClinicalTrials.gov

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