Partographic Analysis of Spontaneous Labour at Term in Primigravida

Abstract

Purpose of the Study To study the use of partogram in the analysis of spontaneous labour at term in primigravida with cephalic presentation. Methodology Partographic analysis of labour was done in 200 primigravidae. Partographic variables are plotted, and the study population was divided into three groups. Group I: Cervix dilatation and descent curve falling to the left of alert line; Group II: Cervix dilatation and descent curve falling to the right of alert line; and Group III: Cervix dilatation and descent curve falling to the right of action line. Maternal and neonatal outcomes were studied in each of three groups. Results Amongst the 200 primigravid labours analysed, 133 (66.5 %) belonged to group I, 40 (20.0 %) belonged to group II and 27 (13.5 %) belonged to group III. Mean durations of active phases of labour were 4.1 h, 6.9 h and 9.6 h, in groups I, II and III, respectively. In group I, 130 women (97.7 %) delivered vaginally, 3 (2.3 %) underwent LSCS. In group II, 29 (72.5 %) delivered vaginally, 4 (10 %) delivered instrumentally and 7 (17.5 %) underwent LSCS, and in group III, 5 (18.5 %) delivered vaginally, 7 (25.9 %) delivered instrumentally and 15 (55.5 %) delivered by LSCS. Conclusion Mean duration of active phase of labour increased as the partographic curve fell to the right of alert and action line. Increased rates of instrumental deliveries, LSCS, babies with lower APGAR score at 5 min, and NICU admissions were observed in group III compared with groups I and II.

Partographic analysis of labour by modified who partograph in primigravidae: a prospective observational study

“…Duration of active phase of labour is the main indicator for delayed progress of labour. These rates are comparable with those of the study conducted by Daftary and Mhatre et al 5 and Lakshmidevi et al 6 The mean duration of second stage of labour in our study was 45.58min in group I and 85 min in group II. It was comparable with studies done by Zhang et al 6 and Lakshmidevi et al 6 Labour was accelerated with oxytocin in majority of cases in group II i.e 13 (72%) than in group I.…”

“…This was comparable with the studies done by Lakshmidevi et al 6 and Kavya Mahesh et al 4 The APGAR score at 5 min in both the groups in our study was not statistically significant. 4 babies out of 300 required NICU admission which was not statistically significant.…”

“…The commonest indication for instrumental delivery was failure of secondary forces for which outlet forceps and vacuum was applied. The similar results were obtained by Lakshmidevi et al 6 and Javed et al 8 However we did not have any patients belonging to group III.…”

Risk factors survey of pejorative evolution of delivery labor in a congolese rural hospital

“…In a survey achieved at 200 parturient distributed in three groups according to the boundary-marks of the partograph, Lakshmideviset al [22] had put in evidence a strong association between the mode of childbirth and the low scores of Apgar according to the boundary-marks of the partograph. Therefore, 33.3% of the newborn by caesarean section, between the line of alert and the one of action, had a score of Apgar lower than 6.…”

Is partograph being correctly filled or just giving false security

“…It also helps to facilitate responsibility to the person conducting labour [3]. The Partograph graphically represents key events in labour and provides an early warning system [4]. Partographs when used with defined management protocols is an inexpensive tool which can effectively monitor labour and be helpful in reducing incidences of both maternal and fetal morbidity and mortality by reducing the number of operative interventions, prolonged labour, obstructed labour and caesarean section [5].…”