Role of who modified partograph in management of spontaneous labour in primigravidas
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction Pregnancy and child birth though considered as physiological process can become lethal for any woman Childbirth was considered as rebirth to a woman in olden era The atmost duty of an Obstetrician is to identify the abnormal events at the earliest intervene appropriately and avoid the catastrophe The importance of partogram is to prevent the maternal and perinatal complications The World Health Organisation has simplified the partogram for its use by skilled birth attendantsAims and Objectives To study the progress and outcome of labour using modified WHO partogram in pontaneous labour in primigravidasMaterials and Methods A cross sectional study of 200 women primigravidas admitted to Sree Siddhartha Medical College from December 2016 to November 2017 with spontaneous onset of labour at term with no high risk factors were recruited for the study using modified WHO PartogramAugmentation of labour requirement duration of active labour mode of delivery maternal and perinatal outcome were studiedPatients were divided into 2 groups Group 1 and Group 2 Group 1 cervical dilatation and descent curve falling to the left of the alert line Group 2 cervical dilatation and descent curve falling to the right of the alert line Though Group 3 with women to right of action line was planned there were no patients in group 3Results Most women belonged to age group of 2125 years The mean gestational age was 382 weeks In Group 1 the mean duration of active phase of first stage of labour was 452010 hours where as it was 594146 hours in Group 2 In Group 2 the mean duration of second stage of labour was 4544194 mins but it was 34421641mins in Group 1study subjects Mean rate of cervical dilatation is 12 cmhr Seventy seven percent had normal delivery 11 had caesarean delivery and 12 had instrumental delivery Patient crossing the alert line had longer duration of labour Augmentation was significantly higher in Group 2 923 than in Group 1 678 In the study group there were no maternal and perinatal deathsConclusion The partograph is an inexpensive and easily accessible tool that can effectively monitor the progress of labour The WHO simplified partograph is highly useful in identifying when to intervene and also reduces perinatal and maternal mishapsKeywords WHO partogram Alert line Maternal outcome Perinatal outcome
Authors and Affiliations
Sowmya Gopinath, Dhananjaya B S, Chandhana Krishna
Keywords
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- EP ID EP475142
- DOI 10.18231/2394-2754.2018.0087
- Views 81
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