Association of cervical effacement with spontaneous labour progression in low risk pregnant females

Abstract

Aim: This study was conducted to evaluate the effect of the cervical effacement to rate of cervical dilatation in spontaneous onset labour in low risk pregnant women in order to improve the accuracy of the current partogram. Method: We conducted an observational study of women who were admitted for vaginal delivery at SSMC, Rewa from august 2017 to july 2018. During labor, dilatation curve was plotted in different graphs for women with spontaneous onset labour admitted at SSMC,Rewa during this time period..They were divided into 2 groups based on degree of effacement at admission,whether it was more than 80% or less than equal to 80% and then their labour curve was separately evaluated and compared with each other . Results: From 8839 women admitted during this time period, 1386 nulliparous and primiparous and 145 multiparous women were eligible for the study. An adjusted generalized estimating equations multivariable model showed that effacement had a significant relationship with rate of cervical dilatation and speed of labour progression .