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The Norwegian World Health Organisation Labour Care Guide Trial (NORWEL)
Sponsor: Ostfold Hospital Trust
Summary
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.
Official title: The Norwegian World Health Organisation Labour Care Guide Trial
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
23650
Start Date
2025-04-01
Completion Date
2030-12-31
Last Updated
2025-04-04
Healthy Volunteers
Yes
Conditions
Interventions
the labour care guide (LCG)
The labour care guide is a tool to be used for assessing labour progression and monitoring care in labour
Locations (10)
Akershus University Hospital, Ahus
Nordbyhagen, Akershus, Norway
Vestre Viken Helseforetak, Drammen
Drammen, Buskerud, Norway
Sørlandet Hospital Kristiansand
Kristiansand, Kristiansand, Norway
Oslo university hospital Rikshospitalet
Oslo, Oslo County, Norway
Oslo University Hospital Ullevål
Oslo, Oslo County, Norway
Stavanger University Hospital
Stavanger, Rogaland, Norway
University Hospital Northern Norway, Tromsø
Tromsø, Troms, Norway
St.Olav University Hospital
Trondheim, Trøndelag, Norway
Haukeland University Hospital
Bergen, Vestland, Norway
Ostfold Hospital Trust
Greåker, Østfold fylke, Norway