ABSTRACT
Introduction: The modified WHO partograph is aninexpensive but valuable tool that provides a continuouspictorial overview of progress of labor. It helps to detectany deviance from normal progress of labor. It guides theobstetrician to decide about the need for early diagnosis ofcomplications like prolonged labour and timely intervention.Study objectives were to study the course of normal andabnormal labour, to evaluate the fetomaternal outcome and tostudy abnormalities of active phase of labour.Material and Methods: A prospective observational studywas carried out in RIMS labour room over a period of 6months from 1st October 2017 to 31st March 2018. 100Cases admitted in labour room were randomly selected andmonitored using Modified WHO Partograph.” Pregnantwomen with uncomplicated full term pregnancies (37-40weeks) with vertex presentation in labour were included andwomen with medical complications like anemia, pregnancyinduced hypertension, gestational diabetes, Abnormal lie orpresentation, diagnosed cases of CPD were excluded fromthis study. Various parameters like progress of labor, need foraugmentation, mode of delivery, perinatal outcome etc. werestudied.Results: Out of 100 women, 83 delivered vaginally without anyoperative intervention, out of which 20 cases (24%) requiredaugmentation with oxytocin, diue to inadequate uterinecontractions. Instrumental delivery rate was 02 percent. Thecaesarean section rate was 15 percent. Commonest indicationfor caesarean section was fetal distress. (9 out of 15 caesareansections accounting for 60%).Conclusion: From the observations of the present study,we conclude that routine use of partogram during labourmanagement help in early detection of deviation from normalprogress of labour, guiding timely intervention.