Clinical profile of primi para pregnant ladies

Abstract

Cervical dilatation is seen to progress faster after the rupture of the fetal membranes in multiparas than in nulliparous. Similarly maternal age seemed to have no influence on the pattern, except for slight retardation in older multiparas. The curve was the same whether or not bony disproportion existed and the time of amniotomy also did not appear to alter it. The course of the average normal curve, with its accelerated bend at 3-4 centimeters dilatation expressed as straight line before and after this point in time, was thought to be due to a change in consistency of cervical tissue as labour progressed. The present study consists of 200 primiparas with full term pregnancy in a spontaneous labour with cephalic presentation in Government General Hospital. Out of 27 of those admitted in latent phase, 17 (62.96%) patients delivered spontaneously, 6 (22.22%) required forceps delivery for various indications and 4 (14.81%) patients required caesarean section for various indications. Out of 73 of those admitted in active phase 46 (63.01%) delivered spontaneously, 10 (13.69%) required forceps for various indications and 17 (23.28%) required caesarean section, for various indications.