OBJECTIVE:The study aims to compare the standard modified WHO partograph to the paperless partograph regarding the labor progress and delivery outcomes STUDY DESIGN: A randomized single-blind clinical trial was carried out in a tertiary University hospital from December 2016 to March 2018 included women admitted to the reception unit in the active phase of labor. inclusion criteria were; age 18-40 years, singleton pregnancy, vertex presentation and gestational age 38-42 weeks. Women were randomly assigned to group (I) included 185 women who were monitored using the modified WHO partograph during labor and group (II) included 185 women who were monitored using the paperless partograph. The primary outcome was the duration of active phase of labor. Secondary outcomes included the duration of second stage of labor, the rate of successful vaginal delivery, neonatal birth weight, Apgar score at one minute and the user friendliness score. RESULTS: There was no difference regarding age (p¼0.29), parity (p¼0.42), residence (p¼0.31), and gestational age at admission (p¼0.17). Use of paperless partograph significantly reduced the duration of active phase of labor (4.4AE1.1 vs. 5.8AE1.4 hours, p¼0.017), duration of second stage (16.2AE6.2 vs. 21.9AE8.3 minutes, p<0.001). The number of vaginal deliveries were high (68.1%) in the paperless partogrraph group vs. 54% in the other group (p¼0.04). no difference regarding the neonatal birth weight and Apgar score. The mean friendliness score was lower for the modified WHO partograph (3.78AE1.16 vs. 8.67AE1.09, p¼0.001). CONCLUSION: The paperless partograph is easier to use and associated with better monitoring of labor progress as well as better delivery outcomes than modified WHO partograph ajog.org CLINICAL OB 2 Oral Concurrent 8
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