Graphic records in labour.

Philpott, R. H.

doi:10.1136/bmj.4.5833.163

Cited by 131 publications

(69 citation statements)

References 3 publications

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“…It was more in women with engaged head than with unengaged head .The average rate of cervical dilatation in primigravidae reported by other authors was 1.7cm/hr. 6,11,12,13,14 The average rate of cervical dilatation in the active phase was 1.3 cm/hr.…”

Section: Discussionmentioning

confidence: 95%

Study of Course of Labour by Using Modified Who Partograph

Shinde

Bangal

Singh

2012

Int J of Biomed & Adv Res

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Background: The modified WHO partograph is an inexpensive but valuable tool that provides a continuous pictorial overview of progress of labor. It helps to detect the abnormal progress of labor. It guides the obstetrician to decide about the need for augmentation of labor and helps to recognize prolong labour before obstruction occurs. Objectives: The objectives were to study the course of normal and abnormal labour, to study various types of abnormalities of active phase of labour and to evaluate the maternal and perinatal outcome in normal and abnormal labour. Methods: A prospective hospital based observational study of 100 selected cases coming for delivery during January 2010 to Dec 2010 was done. Progress of Labor was assessed by the use of Modified WHO Partograph. Various parameters like duration of normal and abnormal labor, type of labor abnormalities, mode of delivery, need for augmentation etc. were studied. Results: The average duration of active stage was 5.5 hours in normal labor. Protracted active phase and secondary arrest of labor were the commonest active phase abnormalities observed. Problems like prolonged and obstructed labor were avoided by timely intervention in the form of caesarean section and instrumental delivery .Perinatal outcome was satisfactory. Conclusion: Routine use of partograph helps in early detection of abnormal course of labour. It assures the best possible maternal and perinatal outcome .It is suggested that every woman in labour must be benefitted by this scientific approach of labour management i.e. with the use of Modified WHO partograph.

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Section: Discussionmentioning

confidence: 95%

Study of Course of Labour by Using Modified Who Partograph

Shinde

Bangal

Singh

2012

Int J of Biomed & Adv Res

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“…9 Philpott in extensive studies of primigravidas in Central and Southern Africa constructed a partogram for cervical dilation in his population and was able to identify deviations from the normal and provide a sound scientific basis for early intervention leading to the prevention of prolonged labour. 6 In 1973 John Studd constructed "Labour stencils" or "Normogram" for the purpose of forecasting the expected pattern of progression according to the degree of dilatation achieved at the time of admission and showed that the partogram can separate normal labour from labour destined to result in an abnormal outcome. 10 Since then various authors have developed similar partograms and brought about various modifications.…”

Section: Discussionmentioning

confidence: 99%

“…7 Philpott in 1972 devised a composite labour picture and introduced the alert and action lines to the partogram. 6 Then WHO in 1994 endorsed the partogram and later modified in 2000 and removed latent phase and defined active phase at 4 centimeters instead of previously used 3 centimeters. WHO advocated its use as a necessary tool in management of labour and recommended its universal use during labour.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore it is a simple tool that is easy to learn and use which saves cost and at the same time helps to improve outcome for the mother and the baby. 2,3,6 Dr Friedman in 1954 and plotted womens" labour on a graph and defined that all normal labour have a characteristic sigmoid shaped curve and defined various stages of labour and abnormal patterns of labour. 7 Philpott in 1972 devised a composite labour picture and introduced the alert and action lines to the partogram.…”

Section: Introductionmentioning

confidence: 99%

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Role of partogram in the management of spontaneous labour in primigravida and multigravida

Penumadu

Hariharan

2014

Int J Reprod Contracept Obstet Gynecol

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“…Improved outcome after obstructed labor requires early detection of abnormal progress of labor, which can be easily identified with the use of a partograph. The development of a partograph started in 1970, when Philpott's partograph was developed from the original cervicograph of Friedman (6). But its use was only rigorously evaluated 20 years after its introduction (7).…”

Section: Introductionmentioning

confidence: 99%

Comparison of two WHO partographs: a one year randomized controlled trial

Kenchaveeriah¹,

Patil²,

Singh³

2011

J Turkish German Gynecol Assoc

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Objective:To compare two World Health Organization (WHO) partographs -a composite partograph including the latent phase with a simplified one without the latent phase in women with uncomplicated pregnancy. Material and Methods:This was a randomized controlled trial conducted at a tertiary hospital at Belgaum, India. 743 women with term, singleton, vertex gestation, in spontaneous labor were included in the study over a period of one year. Either of the partographs was used on laboring women. The following outcomes were compared: labor crossing the alert and action line, augmentation of labor, rate of cesarean section, perinatal outcome, user friendliness and maternal complications. Statistical analysis was done using Chi-square test. Results:Labor values crossed the alert and action lines significantly more often when composite partograph was used (p<0.001) in each, with increased number of augmentations (p<0.001). The number of vaginal deliveries were high (p<0.005) in the simplified group. There was no significant difference in the rate of cesarean deliveries due to non progress of labor in both groups (p=0.68). NICU admissions were higher in the composite group (p=0.035). Most resident doctors (93%) experienced difficulty with the composite partograph, but no resident doctor reported difficulty with the simplified partograph. The mean SD user friendliness score was lower for the composite partograph (2.87±1.86 vs 10.67±1.61; p<0.005). Conclusion:The WHO simplified partograph is easier to use and is a better option for both the laboring women and the user, when compared to composite partograph. (J Turkish-German Gynecol Assoc 2011; 12: 31-4) Key words: World Health Organization, partograph, latent phase, action line, alert line, user friendliness Received: 18 October, 2010 Accepted: 23 February, 2011 Amaç: İki Dünya Sağlık Örgütü (DSÖ) partografını karşılaştırmak -komplike olmamış gebeliği olan kadınlarda latent fazı içeren bileşik bir partograf ile latent fazı olmayan basit bir partograf. Gereç ve

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Graphic records in labour.

Cited by 131 publications

References 3 publications

Study of Course of Labour by Using Modified Who Partograph

Study of Course of Labour by Using Modified Who Partograph

Role of partogram in the management of spontaneous labour in primigravida and multigravida

Comparison of two WHO partographs: a one year randomized controlled trial

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