Partogram depicted labour dysfunction and feto-maternal outcome in primigravidas

ABSTRACT

To determine the frequency of labour dysfunction and associated feto-maternal outcome in primigravidas. Descriptive case series. Obstetrics and Gynaecology Unit II Civil Hospital Karachi, from January 2007 to August 2007. A total of 100 primigravidas were included, having term singleton foetus in active phase of labour. The process of labour was recorded on partogram with maternal and foetal parameters. Among the study participants, partogram curve of 74% primigravidas showed labour dysfunction and required augmentation. Median duration of first stage of labour was 9 hours, second stage of 30 minutes and third stage of 8 minutes. Out of total patients, 82% neonates were observed with good Apgar score and 18% had poor Apgar score. There were 2% cases of puerperal pyrexia but no case of PPH, ruptured uterus and obstructed labour. Partogram is an inexpensive and efficient method of labour monitoring which depicts any dysfunction in labour timely so that early intervention could take place. With the use of partogram the mean duration of labour was reduced.