The paperless partograph: can it be effective to replace the WHO modified partograph

Gitanjali Deka, Rajashree Sharma, Gokul Chandra Das


Background: The partograph is a graphical representation of the various events of labour plotted against time. The main aim was to determine whether the paperless partograph can replace the WHO partograph to monitor labour and aid in decision making.

Methods: It is a hospital based prospective analytical study. The course of labour in 400 women with term singleton uncomplicated pregnancies were studied by using either partographs. 12 resident doctors were included to assess the user friendliness and asked to fill 240 separate partographs (120 each of WHO Modified and Paperless partograph).

Results: The maternal and perinatal outcome was comparable between both the partographs. The Paperless partograph was however more user-friendly than the WHO partograph (p<0.0001).

Conclusions: The Paperless partograph was found to be as effective as the WHO partograph in the effective management of labour. It is more user-friendly and has promising prospects to replace the WHO partograph.


Decision making, Prospective studies, Monitoring, Labor

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Freidman EA. Primigravidae Labor; A graphico-statistical analysis. Obstetrics and Gynaecology. 1955;6;567-89.

Surveys in Bayelsa State; 2006. WHO: Beyond the Number. Reviewing Maternal Deaths and Complications to Make Pregnancy Safer: WHO, Geneva, 2004.

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

Debdas AK. Paperless Partogram. 41st Annual Scientific Session 2008; Sri Lanka college of Obstetrics and Gynaecologists. SLJOG. 2008;30(1):124.

Roy D, Dey R. ETD- Expected Time Of Delivery- A New Simple Clinical Tool For Management Of Labour. AICOG Patna. 2014:2.

Mishra P, Nayak L. ETD-Expected Time of Delivery- A New Simple Clinical Tool for Management of Labour. AICOG Chennai.2014.

Lingegowda K, Bhuvaneswari, Shailaja N, Kulkarni N, Bhatt SB, Vimala. Comparison of WHO partograph with Paperless partograph in the management of labour and to determine which is more use friendlyā€¯; AICOG Patna. 2014:106-7.

Agarwal K, Agarwal L, Agarwal VK, Agarwal A, Sharma M. Evaluation of Paperless Partogram as a Bedside Tool in the Management of Labor. Journal of Family Medicine and Primary Care. 2013;2(1):47-9.

Fatouh E, Ramadan S. Effect of using Paperless Partogram on the Management and Outcome of Labour and the Nurses' Opinion. Journal of Education and Practice. 2015;6(8):17-23.