Baseline data on neonatal encephalopathy and epilepsy before the introduction of the care bundle

Baseline data on neonatal encephalopathy and epilepsy after the introduction of the care bundle

Neonatal Encephalopathy

Epilepsy

Newborn Morbidity

Intra-partum care bundle invoking 4 elements

Institute of Obstetrics and Gynaecology

Bangalore Medical College

Calicut Medical College

Sudhin Thayyil

Prevention of Epilepsy by Reducing Neonatal Encephalopathy

Two of more unprovoked seizures at least 24 hours apart

Moderate or severe neonatal encephalopathy

Definite or probable seizures as per ILAE classification

Significant basal ganglia, cortical or white matter injury

Thayyil, Sudhin

University College, London

University of Oxford

University of Manchester

Madras Medical College

Bangalore Medical College and Research Institute

Government Medical College, Kozhikode

Magnetic resonance biomarkers will be quantified masked to the interventional group

interactive partogram that maternity care professionals of the experimental group use, in interactive and device will guide the professional thought the NICE guidelines on labour care

Conventional care in each participant hospital, with conventional partogram in each centre

Labor Complication

A-BIRTHPERFORM digital tool

A-BIRTHPERFORM Versus Conventional Partogram in the Improvement of Birth Results

A-BIRTHPERFORM Versus Conventional Partogram in the Improvement of Birth Results: a Randomized Controlled Trial

Investigator will be making this evaluation after birth, evaluating the data obtained from the conventional partogram (in the control group) and from the A-BIRTHPERFORM tool (in the intervention group). The measurements or variables that will be used are: data of the progress of labour entered against time, cervical dilatation, record of start oxytocin use if necessary, time of birth, and birth mode in each group of the trial

Investigator will be making this evaluation after birth, evaluating the data obtained from the conventional partogram (in the control group) and from the A-BIRTHPERFORM tool (in the intervention group). The measurements that will be used are birth progress variables/ parameters: data of the progress of labour entered against time, cervical dilatation, record of time artificial rupture of membranes perform variable. Investigator will assess compliance of NICE clinical guidelines on active labour, that states that if progress of cervical dilatation in four hour's time is less than 2cm of cervical dilatation an artificial rupture of membranes should be performed to help with the progress of labour.
Investigators will be comparing compliance of guidelines on artificial rupture of membranes between control group and intervention group and evaluating the percentage of compliance of this technique following the guidelines.

Investigator will be making this evaluation after birth, evaluating the data obtained from the conventional partogram (in the control group) and from the A-BIRTHPERFORM tool (in the intervention group). The measurements or variables that will be used are: data of the progress of labour entered against time, cervical dilatation, and oxytocin use variable. Investigator will assess compliance of NICE clinical guidelines on active labour that states that in case of spontaneous rupture of membranes if progress is less than 2cm of cervical dilatation in four hours NICE clinical guidelines recommends starting use of oxytocin, or in case or artificial rupture of membranes when the progress is less than 1cm of cervical dilatation in two hours, form the data collected conventional partogram (in the control group) and from the A-BIRTHPERFORM tool (in the intervention group) investigators will analyze the trial´s participants following the guidelines.

uterine rupture/hypoxia

Prevention of Epilepsy by Reducing Neonatal Encephalopathy

A-BIRTHPERFORM Versus Conventional Partogram in the Improvement of Birth Results

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