Study of Course of Labour by Using Modified Who Partograph

Abstract

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.

Comparison of normal and abnormal labour by using Modified WHO Partograph

“…In present study, 55.5% cases between action and alert line (group 2) having normal delivery which is comparable with Shine et al (58.5%)and Friedman's study (61.9%). 20 In present study 11.1% cases between action and alert line (group 2) required instrumental delivery which is comparable with Javed et al (13.8%).…”

“…19 In present study 9.5 % cases after action line (group 3) having normal delivery which is comparable with Shinde et al (14.3%). 20 In present study 57.14% case after action line (group 3) required instrumental delivery which is comparable with Javed et al (45.6%). In present study 33.3% case after action line (group 3) required instrumental EMLSCS which is comparable with Javed et al (36.4%).…”

Evaluating role of parity in progress of labour and its outcome using modified WHO partograph

“…India) as the present study with the use of Modified WHO partograph, the rates were similar to that of present study and that multigravidae (1.7 cm/hr) progressed faster than primigravidae (1.3 cm/hr). 5 In another study, Aboyeji et al had the rate 1.76 cm/hr in primigravidae, which is higher than the present study. 9 The difference may be due to the racial differences as the above study was carried out in the African population.…”

“…3 This can be because of the racial and ethnic differences and also due to hesitation in augmentation of labour in multigravidae due to risk of rupture as stated in study of Orji E. 3 In the study of Kunal Shinde et al the overall caesarean rate was 10% when 50 primigravidae and 50 multigravidae were studied for labour progress using a Modified WHO partograph. 5 In study by Shrotri AN et al, 5.7% primigravidae required caesarean section and 79.9% delivered vaginally, while their cervical plots remained to the left of alert line. 7 The rate of caesarean was higher in the present study as no instrumental intervention was given place.…”

Partograph utilization and associated factors among obstetric care providers in North Shoa Zone, Central Ethiopia: a cross sectional study

“…Its aim is to provide a pictorial overview of labor, to alert obstetric care providers about deviations in maternal, fetal condition and progress of labor 3,4 .…”