Partographic study of progress of labour in primigravida

Sonal Bhuyar, Priyanka Deshmukh

Abstract


Background: The objective of this study was to assess the value of partographic studies in the management of labour in primigravidae at term and to study the outcome of labour and mode of delivery.

Methods: Three hundred consecutive primigravid women were selected for this study according to the inclusion criteria at Dr. Panjabrao Deshmukh Memorial Medical College, Amravati (M.S.) during August 2009 - August 2011. 118 women who delivered before alert line served as control group, or group I, women who delivered after the alert line but before the action line; group II and group III; women who delivered after the action line. Maternal and neonatal outcomes were studied in each of three groups.

Results: Among the 300 women analysed, 118 (39.33%) belonged to group I, 147 (47%) to group II and 35 (11.67%) belonged to group III. Mean duration of active phase of labour were 4.55 hrs, 6.90 hrs and 10.16 hrs in group I, group II and group II respectively. Cervical dilatation in group I, group II & group III was at the rate of 1.41 cm/hr, 0.88 cm/hr and 0.59 cm/hr. respectively.

Conclusions: The number of LSCS, NICU, admissions and instrumental deliveries increased in group III, as compared to group I and II. Mean duration of active phase of labour increased as the partographic curve fell to the right of alert and action line.


Keywords


Partogram, Alert line, Action line, Labour

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References


Lavender T, Hart A, Smyth RM. Effect of partogram use on outcomes for women in spontaneous labour at term. Cochrane Database Syst Rev. 2008;8(4):CD005461.

Daftary SN, Mhatre PN. Cervicograph in the management of labour in primigravidae. J Obstet Gynecol. 1997;27:687-91.

Zang J, Troendle JF, Yancey MK. Reassesing the labour curves in nulliparous women. Mosby-Yearbook Inc. 2002;187(4):824-8.

Impey L, Hobson J, O’Herlihy C. Graphic analysis of actively managed labour: prospective computation of labour progress in 500 consecutive nulliparous women in spontaneous labour at term. Am J Obstet Gyanecol. 2000;183(2):438-43.

Javed I, Bhutta S, Shoaib T. Role of partogram in preventing prolonged labour. J Pak Med Asso. 2007;57(8):408-11.