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Background <p>Maternal childbirth experience is an important indicator of quality of intrapartum care, reflecting both clinical management and respectful maternity practices. The World Health Organization introduced the Labour Care Guide (LCG) to promote woman-centred care and improve childbirth experience. This study aimed to compare maternal childbirth experience between the LCG and the modified WHO partograph using a newly developed Maternal Childbirth Experience Scale (MCBES).</p> Methods <p>This prospective randomized controlled trial was conducted in a tertiary care centre from February 2022 to August 2023. A total of 240 term pregnant women were randomly allocated (1:1) to either the LCG group (<i>n</i> = 120) or the modified WHO partograph group (<i>n</i> = 120) using a computer-generated random sequence with allocation concealment by sequentially numbered opaque sealed envelopes. Maternal childbirth experience was assessed in the immediate postnatal period using the 23-item MCBES (Cronbach’s alpha = 0.87). Construct validity was evaluated using known-group validation. Univariate and multivariate logistic regression analyses were performed to identify predictors of positive childbirth experience.</p> Results <p>Baseline characteristics were comparable between groups. The mean MCBES score was significantly higher in the LCG group compared to the partograph group (38.5 ± 3.3 vs. 35.8 ± 4.7; <i>p</i> = 0.001). A greater proportion of women reported a positive childbirth experience in the LCG group (98.4% vs. 89.1%; <i>p</i> = 0.003). On multivariate analysis, use of the LCG independently predicted positive childbirth experience (adjusted OR: 2.80; 95% CI: 1.30–6.10; <i>p</i> = 0.008). Vaginal delivery and multiparity were also significant predictors. The MCBES demonstrated construct validity by differentiating between known clinical groups.</p> Conclusion <p>The Labour Care Guide was associated with improved maternal childbirth experience compared to the modified WHO partograph. However, findings should be interpreted cautiously given the use of a newly developed scale, and further multicentric studies using externally validated tools are warranted.</p>

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Comparison of Maternal Childbirth Experience: Labour Care Guide Versus Modified WHO Partograph Using the Maternal Childbirth Experience Scale (MCBES)

  • 期刊论文

  • 发表日期：

    2026年6月25日

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  • Deepali Garg,
  • Radha Rani Seelam,
  • K. Aparna Sharma,
  • Piyush Ranjan

摘要

Background

Maternal childbirth experience is an important indicator of quality of intrapartum care, reflecting both clinical management and respectful maternity practices. The World Health Organization introduced the Labour Care Guide (LCG) to promote woman-centred care and improve childbirth experience. This study aimed to compare maternal childbirth experience between the LCG and the modified WHO partograph using a newly developed Maternal Childbirth Experience Scale (MCBES).

Methods

This prospective randomized controlled trial was conducted in a tertiary care centre from February 2022 to August 2023. A total of 240 term pregnant women were randomly allocated (1:1) to either the LCG group (n = 120) or the modified WHO partograph group (n = 120) using a computer-generated random sequence with allocation concealment by sequentially numbered opaque sealed envelopes. Maternal childbirth experience was assessed in the immediate postnatal period using the 23-item MCBES (Cronbach’s alpha = 0.87). Construct validity was evaluated using known-group validation. Univariate and multivariate logistic regression analyses were performed to identify predictors of positive childbirth experience.

Results

Baseline characteristics were comparable between groups. The mean MCBES score was significantly higher in the LCG group compared to the partograph group (38.5 ± 3.3 vs. 35.8 ± 4.7; p = 0.001). A greater proportion of women reported a positive childbirth experience in the LCG group (98.4% vs. 89.1%; p = 0.003). On multivariate analysis, use of the LCG independently predicted positive childbirth experience (adjusted OR: 2.80; 95% CI: 1.30–6.10; p = 0.008). Vaginal delivery and multiparity were also significant predictors. The MCBES demonstrated construct validity by differentiating between known clinical groups.

Conclusion

The Labour Care Guide was associated with improved maternal childbirth experience compared to the modified WHO partograph. However, findings should be interpreted cautiously given the use of a newly developed scale, and further multicentric studies using externally validated tools are warranted.