Effects of Systematic Cervical Exam Training on Labor and Delivery Care

This study evaluates whether systematic, structured training for healthcare providers (physicians, midwives, and labor nurses) in performing cervical exams during labor improves patient care outcomes. Cervical examination is routinely used to track labor progress, but there is wide variability in technique and accuracy across providers. Standardized training may reduce this variability and lead to safer, more consistent labor management. The study tracks both provider and patient outcomes over time before and after the training program is implemented. Patient participants include any pregnant women receiving care at the Labor and Delivery unit during the study period. There is no experimental treatment for patients — they receive standard care, while the intervention focuses on improving provider skills. You may be eligible (as a patient participant) if: - You are a pregnant woman receiving care at the Labor and Delivery unit at Wake Forest Baptist Birth Center You may NOT be eligible (as a patient) if: - You have placenta previa or vasa previa - You have another contraindication to cervical examination Talk to your doctor to see if this trial is right for you.