A study on Partographic management of labour at a tertiary care hospital

Abstract

The Partographic control of labour has now outdated an impression of normal labour based upon the palpation of uterine contractions and occasional vaginal examination. Progress of labour has now been strictly documented by statistic graphical means based upon progressive cervical dilatation. The 200 cases contains study group of 100 primiparas and ‘control group of 100 primiparas with no medical or obstetrical complication in either group. The 100 cases of study group were managed by partogram. Cases were selected randomly and Labour pattern of all cases was studied. There is a significant increase in the number of operative deliveries as the duration of labour increases. In 100 cases (control) 33 (80.48) delivered spontaneously. 2(4.87%) required forceps and 6(14.63%) required caesarean section when the labour of within 12 hr. Among 59 cases (control) in labour for more than 12 hours, Only 30(50.84%) delivered spontaneously while 14 (23.72%) required forceps and 15(25.42%) required caesarean section.