Improving Safe Vaginal Deliveries for Delivering Mothers by Implementing an Intervention Package of 11 Evidence-based Practices and Robson Classification at a Semi-urban Hospital in Dhaka, Bangladesh

The objective of this study was to assess whether a package of 11 evidence-based maternity practices, combined with routine monitoring and Robson Classification, could reduce C-section rates in a semi-urban hospital in Dhaka, Bangladesh. Our intervention targeted the key drivers of unnecessary caesarean section at CWCH: weak labour monitoring, low use of evidence-based induction/vaginal birth after caesarean (VBAC) criteria, limited consultant oversight of C-section indications, and insufficient antenatal counselling.

NCT Number	NCT07461571
Lead Sponsor	Ashulia Women and Children Hospital
Conditions	Caesarean Section
Enrollment	2,475 participants
Start Date	2017-06-01
Primary Completion	2019-02-10 (estimated)
Study Completion	2019-08-18 (estimated)
Updated on ClinicalTrials.gov	2026-03-12