Partogram: A Simple and Effective Tool In Monitoring the Progress of Labour
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Objective: To determine the utility of partogram in monitoring the progress of labour and determining whether appropriate interventioms based on it will improve the fetomaternal outcomes. Method: A case controlled, prospective and interventional study was carried out on 600 women at the obstetric unit of a tertiary care hospital in Ahmedabad from May 1st, 2017 to December 31st, 2017. The progress of labour was monitored in 300 women with and without partogram each. The duration of labour, mode of delivery and fetomaternal outcomes were noted. Results: Labour was shorter than 12hours in 82%, between 12-24 hours in 17% and more than 24hours in 1% of the primigravida in the control group. After introduction of partogram (case group), labour was less than 12hours in 94% and between 12-24 hours in 6% of the primigravida. Among the multigravida, 97% delivered in less than 12 hours and 3% in less than 24 hours when partogram was used as against 90% who delivered in less than 12 hours and 10% who delivered in less than 24 hours without the use of partogram. The rate of vaginal delivery rose from 60% to 72% and caesarean section fell from 38% to 17% among the primigravida with the use of partogram. In the multigravida, with the use of partogram, the rate of vaginal delivery rose from 75% to 85% and caesarean section fell from 23% to 14.5%. The rate of instrumental delivery in both these groups also declined. There was also a reduction in maternal complications like PPH (5% to 3.3%) and obstructed labour ( 1.3% to 0%) with the use of partogram. Henceforth, the above study showed that by using partogram as a tool for assessment of the progress of labour, timely intervention was possible and as a result, the frequency of prolonged labour and fetomaternal complications were reduced.
Authors and Affiliations
Dr. Arti Jayesh Patel, Dr. Abhilasha Fatesh Bahadur Singh
Keywords
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- EP ID EP374284
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