A comparative study of paperless partograph and modified WHO partograph in management of labour

Authors

  • Krupa Verma Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan, India
  • Monika Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan, India
  • Babita Panwar Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan, India
  • Nupur Hooja Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan, India
  • Kapil Kumar Gurjar Department of Obstetrics and Gynaecology, Medical Officer, Government of Rajasthan, Rajasthan, India
  • Aakanksha Saini Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243928

Keywords:

Estimated time of delivery, Maternal mortality ratio, Modified WHO partograph, Paperless partograph

Abstract

Background: Maternal mortality ratio (MMR) in India has declined to 97 deaths per lakh in 2020. Though the use of partograph for monitoring of women in labour helped in the decline, several factors have been implicated in the underuse and incorrect use of the modified WHO partograph at all levels of maternity care. A paperless partograph has been designed for use by clinicians in low resource areas as a simple, non-time consuming, two step calculation to monitor progress of labour, the time to intervene or to transfer a woman to higher centres with facilities for caesarean section. Aim of the study was to compare paperless partograph and modified WHO partograph in the management of labour.

Methods: 1040 women who were admitted in labour room were selected and divided into two equal. Group A women were assessed during labour using modified WHO partograph and Group B women using paperless partograph. Outcome was observed were: Spontaneous normal delivery or assisted normal delivery or caesarean section, duration of labour, no. of women delivering before or at ALERT ETD, between ALERT and ACTION ETD and others delivering beyond ACTION ETD, indication for caesarean section if done. Foetal outcome was also recorded: APGAR scores, NICU admissions (reason of admission, duration of stay, outcome and compared.

Results: There was no significant difference in mode of delivery between both the partographs (p-value= 0.771488). The outcome in terms of time taken from 4 cm to to delivery and delivery in relation to Alert and Action line / ETD was comparable.

Conclusions: Paperless partograph can be easily used in place of modified WHO partograph in low resource settings with similar outcome.

Metrics

Metrics Loading ...

References

World Health Organization. Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/ Population Division, 2023. Available at: https://iris.who.int/handle/10665/366225. Accessed 01 May 2024.

Say L, Chou D, Gemmill A, Tuncalp O, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323-33.

Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D, et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387(10018):587-603.

Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014;384(9940):347-70.

Ogwang S, Karyabakabo Z, Rutebemberwa E. Assessment of partogram use during labour in Rujumbura Health Sub District, Rukungiri District, Uganda. Afr Health Sci. 2009;9(Suppl 1):S27-34.

Veena L, Sarojini, Anagondanahalli P, Prakash, Suchitra. Study to compare between paperless partograph and modified who partograph in management of labour. Int J Reprod Contracept Obstet Gynecol. 2018;7(1):99-103.

Debdas AK. Paperless Partograph. 41st Annual Scientific Session 2008. SLJOG. 2008;30(1):124.

Faswila M, Rao SB. Comparative study of user friendliness of paperless partograph compared to WHO partograph in preventing prolonged labour. Int J Reprod Contracept Obstet Gynecol. 2019;8(1):229-33.

Agarwal K, Agarwal L, Agrawal VK, Agarwal A, Sharma M. Evaluation of paperless partographas a bedside tool in the management of labour. J Fam Med Primary Care. 2013;2(1):47-9.

Deka G, Sharma R, Das GC. The paperless partograph-can it be effective to replace the WHO modified partograph. Int J Reprod Contracept Obstet Gynecol. 2016;5(2):452-5.

Downloads

Published

2024-12-27

How to Cite

Verma, K., Monika, Panwar, B., Hooja, N., Gurjar, K. K., & Saini, A. (2024). A comparative study of paperless partograph and modified WHO partograph in management of labour. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(1), 80–83. https://doi.org/10.18203/2320-1770.ijrcog20243928

Issue

Section

Original Research Articles