Title: Role of modified WHO partograph in the management of labour in nulliparous women-a prospective study
Authors: Dr Pankhuri Goyal Busar, Dr Sonam Chaudhary, Dr Kavita Sharma, Dr Seema Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.159
Abstract
Background: Partograph is a single standardized sheet on which midwives, nurses and doctors can record their examination findings to generating of pictorial overview of labour progress and maternal and fetal condition. We aim to assess the role of modified WHO partograph in management of labour in nulliparous patients with spontaneous onset of labour pain at a tertiary care centre.
Material & Methods: This prospective study was done in the labour room of Obstetric and Gynecology department of Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan from March 2018 to April 2018. 140 nulligravida women fulfilling the inclusion and exclusion criteria were included after written informed consent. Patient details, progression of labour after 4 cm of cervical dilatation and monitoring of maternal and fetal condition was recorded on the WHO modified partograph in all patients.
Results: Mean age of the patient was 23.13 years, mean BMI was 22.77 kg/m2 and majority belonged to urban society. Mean gestation age at presentation in labour room was 39.3 weeks. The majority 118 (84.28%) delivered vaginally, 6 (4.28%) by assisted vaccum delivery and 22 (15.71%) needed emergency LSCS. Maternal complications (3.57%) namely atonic PPH (2), extended episiotomy (2) and precipitate labour with complete perineal tear (1) were seen in cases of abnormal progress of labour, all managed properly. There was no neonatal & maternal mortality.
Conclusion: We suggested that in a country like India, where still maternal morbidity and mortality rate is high, partograph use should be implemented in all hospitals and labour rooms for better obstetric care and attainment of Millennium Development Goal of improving maternal health.
Keywords: Partograph, Neonatal outcome, Mode of Delivery, Maternal outcome.
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