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

Penumadu, Kavya Mahesh; Hariharan, C.

doi:10.5455/2320-1770.ijrcog20141233

Cited by 11 publications

(20 citation statements)

References 10 publications

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“…Mean duration of first stage of labor is 2 hours 12 mins from the time of admission in primigravida and 1 hours 35 mins in multigravida with standard deviation of 1 hours 2 mins in primigravida and 49 mins in Multigravida. 12,13 Present study correlates with Sanyal et al to an extent with 77% of patients in group A, 21% in group B and 3% in group C. Improvement in Group C is seen in this study mainly because of active intervention once the partograph crosses the alert line.…”

Section: Resultssupporting

confidence: 88%

Evaluation of partogram in 100 cases of both primi and multi gravida each, their outcome in labour and perinatal outcome

Krishna

Paladi

2019

Int J Reprod Contracept Obstet Gynecol

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Background: the objective of this study was to study the utility of partogram in both primi and multi gravida and evaluate its role in preventing prolonged labour; assess the rate of cervical dilatation on admission, and to evaluate the maternal and perinatal outcome by comparing their partogram in labour.Methods: This observational prospective clinical study involved randomly selected 200 patients in labor divided into 2 groups of 100 each admitted in Khaja Banda Nawaz Institute of Medical Sciences, Gulbarga. Modified WHO partogram was used. Statistical analysis done by Chi square test.Results: Mean age group in primi was 22.05 years with standard deviation of 2.38 years and in multi mean age group was 25.19 years with standard deviation of 3.09 years. Mean duration of active phase of labor in primi was 2 hrs 12 mins and in multi was 1 hours and 35 mins from time of admission into hospital. Mean duration of second stage of labor in primi was 57 mins and in multi was 35 mins. Out of 100 primi gravida 68% had NVD, 1% had outlet forceps. 13% had vacuum application and 18% underwent LSCS. Out of 100 multigravida 86% had NVD, 1% had outlet forceps, 7% had vacuum application and 6% underwent LSCS. In group A in primi 75% had NVD, 0% had forceps, 5% had vacuum application and 0% LSCS whereas in multi 93% had NVD and 7% had vaccum, NO forceps /LSCS. In group B, in primi 20% had NVD, 4% had forceps, 33% had vacuum application and 43% had LSCS whereas in multi 34% had NVD, 8% had forceps, 8% had vacuum application and 50% LSCS. In group C, in primi 100% had LSCS whereas in multi there were no NVD/Vaccum/ forceps/ LSCS cases. In primi 100% and in multi 96% had no maternal complications. In primi 96% and in multi 97% had no neonatal complications.Conclusions: The partogram is used to assess the labor progress and identify when intervention is necessary. This study showed that it can be highly effective in reducing complications from prolonged labor for both mother & neonate, in reducing operative intervention and improving their outcome.

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Section: Resultssupporting

confidence: 88%

Evaluation of partogram in 100 cases of both primi and multi gravida each, their outcome in labour and perinatal outcome

Krishna

Paladi

2019

Int J Reprod Contracept Obstet Gynecol

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“…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.…”

Section: Discussionsupporting

confidence: 82%

“…Hence it is essential to detect them and deliver by appropriate intervention. 4 Partogram is a simple and efficient method of preventing prolonged labour and its complications, especially in developing countries. The partogram initially introduced by Philpott and endorsed by WHO is a simple and accurate instrument for early recognition of abnormal labour.…”

Section: Discussionmentioning

confidence: 99%

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

Pujar

Salian

Kulkarni

2016

Int J Reprod Contracept Obstet Gynecol

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“…As the study was conducted in high risk pregnancies, partographic monitoring was essential to evade further complications related to prolonged or abnormal labour and to consider early intervention in case of need. 7 Javed et al, studied 500 primigravidas and 500 multigravidas with low risk pregnancies to determine the effect of partogram on the rate of intervention, operative deliveries and maternal morbidity.…”

Section: Discussionmentioning

confidence: 99%

A study on the role of partograph in monitoring labour in high risk pregnancies

Mohanty

2019

Int J Adv Med

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Background: The progress of labour can be graphically represented using the WHO partogragh, which helps in early detection and prevention of complication of labour, thus resulting in a better feto-maternal outcome especially in high risk cases.Methods: The study was undertaken at Hitech Medical College and Hospital, Bhubaneswar from March 2017 to February 2019 on 200 high risk patients. The progress of labour was plotted and assessed on Modified WHO partograph.Results: Majority of the cases were referred cases. Augmentation of labour was carried out in 56 cases. The mean duration of labour in the first stage was 5.4 hours and 4.1 hours in primi and multigravidas, whereas that of the second stage of labour are 37.5 minutes and 26.3 minutes respectively. 51 cases had prolonged labour and 15 cases had arrest of labour in the second stage. Maximum number of cases underwent LSCS due to abnormal labour progression. 8.7% of the cases had PPH and 2.3% had puerperal sepsis. Neonatal asphyxia was seen in 13.6% cases and 2.8% had early neonatal death.Conclusion: The results conclude that the WHO modified partograph is an inexpensive useful tool in monitoring the progress of labour and reducing foeto maternal morbidity in high risk groups.

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

Cited by 11 publications

References 10 publications

Evaluation of partogram in 100 cases of both primi and multi gravida each, their outcome in labour and perinatal outcome

Evaluation of partogram in 100 cases of both primi and multi gravida each, their outcome in labour and perinatal outcome

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

A study on the role of partograph in monitoring labour in high risk pregnancies

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