Partographic analysis of labour in Eclampsia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Objective: - To study the use of partogram in the analysis of labour in eclampsia with cephalic presentation. Methodology: -Partographic analysis of labour was done in 50 patients of eclampsia in labour and 10 normotensive primigravidae and 10 normotensive multigravidae as control. Partographic variables are plotted and the rate of cervical dilatation was measured. Maternal and neonatal outcomes were studied in each patient. Result:– Amongest the 50 eclampsia patients in labour analysed 37(74%) were primigravidae and rest 13 (26%) were multigravidae. Mean duration of active phase was 3.29 hrs. and 2.53 hrs. in primigravidae and multigravidae study group compared to 5.14 hrs and 4.27 hrs in control primigravidae and multigravidae respectively. Rate of cervical dilatation in active phase was 3.26 cm/ hrs, 4cm / hrs, 1.96cm/ hrs and 2.40cm /hrs in primigravidae eclampsia, multigravidae eclampsia, primigravidae normotensive and multigravidae normotensive respectively. Forceps delivery were 29 (58%) and normal vaginal delivery in 21 (42%) cases in eclampsia group. Conclusion – Mean duration of active phase of labour was shorter in eclampsia patient and rate of cervical dilatation was more than normotensive patient in labour. Prematurity in eclampsia is high and therefore the perinatal mortality is also high in study group.
Authors and Affiliations
Dr. Manju Merina Bara, Dr Silbina Murmu
Keywords
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- EP ID EP369615
- DOI 10.9790/0853-1703095961.
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