Influence of partograph tracing on management of labour

ABSTRACT

Introduction: The partograph, a graphic recording of labour and features in the mother and fetus has been used since 1970 to detect labour that is not progressing normally. The partograph serves early warning system and assist in early decision of transfer, augmentation and termination of labour. It also increases the quality and regularity of observing mother and fetus in labour. Material and methods: It was a prospective observational study conducted in the Department of Obstetrics and Gynaecology at Dhiraj General Hospital, Pipariya, Waghodiya during the period of 6 months. Total 100 patients were enrolled in my study. Plotting on partogram was started at cervical dilation > 4 cm dilation on alert line. Induction was done in needed cases. Augmentation was done as per requirement. Results: 48% cases were Primigravida and 52% cases were multigravida. Mean gestational age was 38.8 weeks. In 88% cases delivered spontaneous and 12% cases required induction of labour. 18.2% of spontaneous onset patients crossed the alert line as compared to 66.66%in the induced group. 72.7% patients in spontaneous group had vaginal delivery, 23.86% had LSCS and 3.4% had instrumental delivery. 25% patients in induced group had vaginal delivery, 75% had LSCS. 96% neonate had no morbidity. Conclusion: The proper use of partograph and application of the right decision at the right time that we can achieve the best for maternal and neonatal outcome: