Role of “Partograph” in Early Detection of Abnormal Progress of Labour Kaul Indu1, Pandotra Poonam2,,*, Khoda Jivitesh3, Sharma Shiv Kumar4 1Professor and HOD, Department of Obstetrics and Gynaecology, SMGS Hospital, GMC, Jammu, Jammu and Kashmir 3Medical Officer, Department of Obstetrics and Gynaecology, SMGS Hospital, GMC, Jammu, Jammu and Kashmir 2Senior Resident, Department of Obstetrics and Gynaecology, MMMCH, Kumarhatti, Solan, Himachal Pradesh, India 4Senior Resident, Department of Surgery, MMMCH, Kumarhatti, Solan, Himachal Pradesh, India *Corresponding author email id: poonam.pandotra@gmail.com
Abstract Background: The modified World Health Organisation (WHO) partograph is an inexpensive but valuable tool that provides a continuous pictorial overview of progress of labour. It guides the obstetrician to decide about the need for augmentation of labour and helps to recognize prolonged labour before she goes into obstructed labour. Objectives: To determine the role of partograph in early detection of prolonged labour and its complications; Identification of timing for intervention for any operative delivery. Materials and Methods: This prospective observational study was conducted with 800 women, 400 primigravida and 400 multigravida who were admitted in labour room with full term pregnancy in labour with vertex presentation. Monitoring was done by using ‘Modified WHO partograph.’ Results: Out of 400 patients, 82.25% primigravida and 95.25% of multigravida patients delivered vaginally, 13.75% of primigravida and 03.50% of multigravida patients required caesarean section and 04.00% of primigravida and 01.25% multigravida patients had to undergo operative vaginal deliveries. Commonest abnormal pattern in both primigravida (38.02%) and multigravida (31.58%) patients; was in the form of arrest of descent of labour. Commonest mode of delivery for abnormal labour pattern in this study; in both primigravida and multipara was caesarean section, followed by instrumental vaginal delivery. Conclusion: WHO partograph is an efficient tool for labour management. When labour is monitored graphically by using WHO partograph, it helps us in early identification of cases of slow or abnormal progress of labour. Top Keywords Partograph, Primigravida, Multigravida, Labour, Action line, Alert line, Delivery
. Top |