The clinical evaluation of course of labour using modified who partograph

Abstract

Partograph is an inexpensive, accessible managerial tool which has been endorsed by WHO for monitoring of labour. Various types and designs of partograph are being used at various centers. Recently, WHO introduced simplified version of partogram, for the use by skilled birth attendant. In our study we evaluated the nulliparous labour using this modified partogram in a teaching and tertiary care setup. This study was conducted at Jawaharlal Nehru Medical College; Ajmer included 400 nulliparas with uncomplicated pregnancy at term. Using WHO modified partogram, characteristics of nulliparous labour and neonatal outcome was evaluated. Following are the results of the study. Mean gestational age was 39.07 weeks, mean duration of first stage labour –3.586±2.103hrs, mean duration of second stage of labour –35.01 ± 24.48 minutes, mean total duration of labour –4.08±2.277hrs. In our study 44% patients delivered without any augmentation while in another 56% with labour augmentation. We didn’t find any difference in monitoring of labour using modified version of WHO partogram compared with other partograms, apparently its more simpler to plot and easy to understand.