Title: Evaluation of Labour Progress and Delivery Outcome Using Modified WHO Partograph
Author: Dr Jagriti Priya, Prof Swapan Kr Kundu
DOI: https://dx.doi.org/10.18535/jmscr/v10i12.16
Abstract
Introduction
- Despite the fact that the maternal mortality ratio (MMR) has decreased by roughly 45 % in the previous two decades, over 300,000 women die each year in the world as a result of preventable pregnancy-related problems[1] Labor obstruction is a significant cause of maternal and newborn death worldwide, but it is particularly prevalent in poor countries. [2]
- The first graphic assessment of progress of labour was designed by Friedman and further improved by Philpott and Castle.[3] Much work has been done to improve the partograph as a tool which graphically represents key events during labour and adapts it for use globally.
- The use of partograph (or labour chart) to monitor the progress of labour is one of the globally recognized tools for reducing maternal mortality.[4]
- The partograph is a low-cost instrument that is meant to offer a continuous visual picture of labor. When used to monitor and manage labor, it has been demonstrated to enhance outcomes.
- To determine the extent to which health care providers are making use of the partograph in monitoring the progress of labour through checking the documentation of the parameters of the partograph. We hoped to identify the extent to which partographs are used to make clinical decisions.
References
- World Health Organization, UNICEF, UNFPA, World Bank, United Nations Population Division. Trends in maternal mortality 1990 to 2013: estimates by the WHO, UNICEF, UNFPA, the World Bank and the United Nations population division. Geneva: World Health Organization; 2014. maternal-mortality-2013/en/.
- Harrison MS, Griffin JB, McClure EM, Jones B, Moran K, Goldenberg RL. Maternal mortality from obstructed labor: a MANDATE analysis of the ability of technology to save lives in sub-Saharan Africa. Am J Perinatol. 2016;33(9): 873–81. 10.1055/s-0036-1571322.
- Levin K, Kabagema Jd A. Use of the partograph: effectiveness, training, modifications, and barriers—a literature review. New York: Engender Health/Fistula Care; 2011.
- Souza JP, Oladapo OT, Bohren MA, Mugerwa K, Fawole B, Moscovici L, et al. The development of a simplified, effective, labour monitoring-to-action (SELMA) tool for better outcomes in labour difficulty (BOLD): study protocol. Reprod Health. 2015;12(1):49.
- Philpott R.H. Graphic record in labour. BMJ .1972: 163-165.
- Philpott R. H. and Castle W.M. Cervicographs in the management of labour in primigravidae. I) The alert line for detecting abnormal labour. II) The action line and treatment of abnormal labour. J Obstet Gynecol Br Commonw, 1972; 79:592-602.
- Drouin P, Nasah BT,Nkounawa F.The value of the program in the management of labour. Obstet Gynaecol 1979; 53:741-745.
- Vaidya PR and Patkar LV: Monitoring of labour by partogram. J Obstet Gynecol India, 1985: 83(5).
- Shrotri A.N. Early recognition of abnormal labour in primigravidae. J Obstet Gynecol India. 1991:41(3).