Comparison of Partograms for Spontaneous and Induced Labour

Abstract

Background: Labour is a unique experience in a normal woman's life. If it is prolonged and tedious it may produce a picture of mental anguish and physical morbidity. For the newborn child, prolonged labor will pose danger to its survival and subsequent neurological development. We in the current study tried to evaluate the use of partograms for spontaneous and induced labor in primi and multis para women. Methods: A total of n=150 cases were studied, and this includes both primis and multigravidae attending Prathima Hospital. They were divided into 3 groups (groups A, B & C) patients in normal true labor and those in whom induction was used. The induced group was again divided into those induced with PGE2 gel or oxytocin. The modified WHO partogram starts with 4cms cervical dilatation. partograms were plotted to assess the progress of labor in each group and analyzed. Results: Group A for 52% primis and 64% multis the partogram fell before the alert line i.e. thedelivered before reaching the alert line, Group – B 56% primis and 48% multis in the partogrammoved between the alert and action lines. In GroupA 8% primis and 1% multis have reached orcrossed the action line. 12% primis and 1% multis in group-B have reached or crossed the actionline. 28% primis and 16% multis in group-C have reached or crossed the action line,Interventions like forceps delivery or cesarean section was done for those who have reached orcrossed the action line Conclusion: Partogram is a useful Non-invasive tool for monitoring the progress of labor in both spontaneous and induced labor for primis and multis. The Maternal and Fetal outcome is extremely favorable when partographic monitoring is done in parturients. The partogram helps us to take up decisive interventions in the form of accelerating labor, instrumental vaginal delivery (outlet Forceps/ventouse), and cesarean section