Original Articles
Studying the labour characteristics using WHO modified partograph in relation to augmentation requirement, duration of labour, mode of delivery and neonatal outcome | |
Dr. Shalini K R, Dr. Neethika Raghuwanshi, Dr. Vivek VM | |
Background: A partograph is a composite graphical record, of progress of labour and salient condition of mother and foetus. Present study was aimed to study the labour characteristics using WHO modified partograph in relation to augmentation requirement, duration of labour, mode of delivery and neonatal outcome .Material and Methods: Present study was single-center, prospective, observational study, conducted in pregnant women, Singleton pregnancy, period of gestation 37.1-42 weeks, Cephalic presentation, in spontaneous or induced labor, in first stage active phase of labor with cervical dilatation of ≤ 8 cms, willing to participate in present study. Results: In present study, among 100 pregnant women, majority belongs to the age group of 22 to 25 years (49%), were primigravida (78%), had 39 to 40 weeks of gestational age (40%), delivered spontaneously (53%). Majority delivered vaginally (78%); rest required Lower Segment Caesarean Section (LSCS) (22%).9 Babies had Apgar score <7, while 15 (15%) babies had meconium-stained liquor & 13 babies needed NICU admission. Total number of participants with NICU admission needed were 5 and 8 among normal delivery and LSCS group, difference was statistically highly significant (P=<0.0001). Majority belonged to group A (77%- reported at left to alert line), followed by group B (19% - found between alert and action line) & group C (4% - reported to be right of the action line). Conclusion: Our study favours the use of the WHO modified partograph, which should become routine practice in monitoring labour for better maternal and perinatal outcome. We recommend that there should be regular in-house-training and re-training of the maternal health care providers on the use of partograph in labour management. |
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