Influence of Partograph Tracing in Management of Labour in Primigravida
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Background: The objective of this study was to improve perinatal outcome by early detection of abnormal progress of labour and prevention of prolonged labour. Method: This study was carried out in 200 patients admitted in labour room of Department of Obstetrics and Gynaecology, G.R. Medical College, Gwalior within a total span of one year i.e. May 2016 to April 2017. The graphs of all patients were analyzed and placed in three groups. Group A patients who delivered before partogram touched the alert line. Group B patient who delivered when the partogram lay between the alert and action lines. Group C were patients who delivered after the action line was reached. The different types of abnormal labour were studied. The maternal and fetal outcome was assessed. Results: In our study maximum number of patients are of 18-21 years of age group. Maximum number of patients were delivered normally i.e. 88% and instrumental delivery 3% and LSCS 9%. p value is 0.00001 i.e. significant and coefficient value is 41.42. 170 patients needed acceleration of labour out of this 18 patients were not improved and underwent LSCS. p value is significant. Conclusion: A continuous partogram is invaluable in the diagnosis of abnormal uterine action. And while clinical judgment may decide the necessary for intervention, the partogram clearly defines the time to act. It significantly improves both maternal and neonatal outcome.
Authors and Affiliations
Pratibha Garg
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