Objective – To document the progression of the labor and monitor the well-being of the mother and foetus using world health organisation labour care guide and the old modified world health organisation partograph and to decide which of the two partographs helps to provide better improvement in the quality of the labour. The objective is to rapidly detect and resolve any emergent labor difficulties and take appropriate measures if any abnormal observations are detected. The present study used an observational research design. A comparative analysis of the World Health Organization's Labour Care Guide and its previous modified version. The application of partograph is implemented on patients who have been brought to the labor room at the division of Obstetrics & Gynaecology AJIMS, Mangalore over a duration of three months, with the purpose of analysing the outcomes of the deliveries. Result- The rate of primary caesarean delivery has been limited at our hospital by 1.5% using world health organisation labour care guide. The p values of the study stands 0.87 consequently the difference between the two groups is not statistically noteworthy. Conclusion– The world health organisation labour care guide is an effective labour surveillance instrument that will provide a complete description of the maternal and the foetal status and has been beneficial in minimizing the incidence of initial cesarean delivery by gradually permitting the labour to continue.