Publication:

Evaluation of primigravida in labour using modified WHO partograph: comparative study of 100 cases

Background Prolonged labour has become a rarity in developed countries, but it still poses a problem in developing countries causing increase in maternal and perinatal morbidity and mortality. This study is undertaken to assess the efficacy of modified WHO partograph in monitoring progress of labour in primigravidae with spontaneous onset of labour and in patients with active management and to assess whether active management of labour helps in reducing the duration of labour.

Methods In this study, 100 primigravidae partographs are analyzed, 50 patients are in active management group (early amniotomy and use of oxytocin) and 50 patients are in control group (spontaneously).

Results The mean duration of first stage of labour in the study group is 6.73±2 and in the control group is 11.30±4.51hrs( statistically significant p 0.05 ). Assisted vaginal delivery (vaccum) is found in 6% in the study group and 8% in control group patients (p>0.05). LSCS is found 10% in study group and 8% in control group patients (p>0.05).

Conclusions Active management of labour significantly reduces the mean duration of 1st active stage, 2nd stage and total duration of labour, but does not decrease the rate of the caesarean section.