Implementation of labour Care guide and its impact on caesarean section rate – An observational study

Abstract

Background: The World Health Organization (WHO) Labour Care Guide (LCG) was introduced to improve labor monitoring and outcomes, particularly aiming to provide respectable maternity care and positive intrapartum experience . This study evaluates the impact of LCG implementation on cesarean section rates and other labor and delivery outcomes. Methods: This observational study included 770 participants at a tertiary care center. Participants' age, parity, onset of labor, cervical dilatation, duration of labor stages, interventions, mode of delivery, indications for interventions, fetal outcomes, birth weights, APGAR scores, NICU admissions, and maternal morbidity were recorded. The primary outcome was the mode of delivery, with secondary outcomes including maternal and neonatal health indicators.