Online ISSN: 2515-8260

Partograph versus no partograph: effect on labour progress and delivery outcome: a comparative study

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Dr. Fatma Abdulla Emtawel ,Prof.Musa .O. Busarira, ZMA Sulayman Alhasy


Background:Worldwide, more than a million women between the ages of 15 and 49 years die each year from complicationsof pregnancy and childbirth. The use of partograph(or labour chart) to monitor the progress of labour is one of the globally recognized tools for reducing maternal mortality. Aim:To evaluate the effect of use of Partograph on progress of labour and on delivery outcome. Methodology: Prospective randomized comparative study.Thestudywas conductedin the Department of Obstetrics and Gynecology, Benghazi Medical Center,From1stofAprilto30thofJune2020.Pregnantwomenwererandomlyassignedto two groups, of 200 each,after satisfying the inclusionand exclusion criteria. Results: Use of partograph significantly reduced the totalduration oflabour (active phase duration and second stage duration )p-value =0.0001.Augmentation of labour by Oxytocin and ARM were slightly reduced in group one (p value = 0.059). Inthepresentstudynormal vaginal deliverywasrecorded in96%offirstgroupand 93% of second group, C/S done to 4% of 1st group and 7% of 2nd group , this difference was not statistically significant p value was 0.273.Neonatal out comes were better in partograph group . Mean fetal heart record was more in 1st group(pvalue = 0.0001). RecommendationThe use of partograph is actually required to get a healthy mother and a healthy baby ,and in early identification of slow progress in labour ,so use of partograph should be included as an essential pre- requisite while conducting deliveries in all labour wards.

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