Current concepts on the use of the partogram to monitor labor progression
The partogram is a graphic tool used to monitor labor progression. This article reviews the recent literature on the use of the partogram, aiming to evaluate whether its implementation reduces cesarean section rates and to determine which model is more appropriate. Studies that compared using the pa...
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| Format: | Article |
| Language: | English |
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Medwave Estudios Limitada
2024-12-01
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| Series: | Medwave |
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| Online Access: | https://www.medwave.cl/puestadia/practica/2966.html |
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| author | Luis Rojas Cedeño Jorge A. Carvajal |
| author_facet | Luis Rojas Cedeño Jorge A. Carvajal |
| author_sort | Luis Rojas Cedeño |
| collection | DOAJ |
| description | The partogram is a graphic tool used to monitor labor progression. This article reviews the recent literature on the use of the partogram, aiming to evaluate whether its implementation reduces cesarean section rates and to determine which model is more appropriate. Studies that compared using the partogram with not using it were analyzed, as well as studies that contrasted different partogram models. The results indicate that partogram use is not associated with a significant reduction in cesarean section rate, particularly in countries with low cesarean section rates. However, the modified World Health Organization partogram, which eliminates the latent phase, appears to have advantages over the classic 1994 model, with significantly lower cesarean section rates. Although the partogram has not shown significant benefits in reducing cesarean sections, it is still a useful tool for graphically documenting the progress of labor, which could improve clinical decision-making. In Chile, the high cesarean section rates, close to 45%, suggest that implementing the WHO 2000 partogram could be beneficial. However, local studies are needed to confirm the potential benefits of reducing cesarean sections. |
| format | Article |
| id | doaj-art-de67098840734944a7b2d820ee1a75c6 |
| institution | Kabale University |
| issn | 0717-6384 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Medwave Estudios Limitada |
| record_format | Article |
| series | Medwave |
| spelling | doaj-art-de67098840734944a7b2d820ee1a75c62025-01-06T16:16:01ZengMedwave Estudios LimitadaMedwave0717-63842024-12-012411e2966e296610.5867/medwave.2024.11.2966Current concepts on the use of the partogram to monitor labor progressionLuis Rojas Cedeño0https://orcid.org/0009-0007-1652-8917Jorge A. Carvajal1https://orcid.org/0000-0001-6875-7825Departamento de Obstetricia, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile Departamento de Obstetricia, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileThe partogram is a graphic tool used to monitor labor progression. This article reviews the recent literature on the use of the partogram, aiming to evaluate whether its implementation reduces cesarean section rates and to determine which model is more appropriate. Studies that compared using the partogram with not using it were analyzed, as well as studies that contrasted different partogram models. The results indicate that partogram use is not associated with a significant reduction in cesarean section rate, particularly in countries with low cesarean section rates. However, the modified World Health Organization partogram, which eliminates the latent phase, appears to have advantages over the classic 1994 model, with significantly lower cesarean section rates. Although the partogram has not shown significant benefits in reducing cesarean sections, it is still a useful tool for graphically documenting the progress of labor, which could improve clinical decision-making. In Chile, the high cesarean section rates, close to 45%, suggest that implementing the WHO 2000 partogram could be beneficial. However, local studies are needed to confirm the potential benefits of reducing cesarean sections.https://www.medwave.cl/puestadia/practica/2966.htmlpartogramlaborcesarean section |
| spellingShingle | Luis Rojas Cedeño Jorge A. Carvajal Current concepts on the use of the partogram to monitor labor progression Medwave partogram labor cesarean section |
| title | Current concepts on the use of the partogram to monitor labor progression |
| title_full | Current concepts on the use of the partogram to monitor labor progression |
| title_fullStr | Current concepts on the use of the partogram to monitor labor progression |
| title_full_unstemmed | Current concepts on the use of the partogram to monitor labor progression |
| title_short | Current concepts on the use of the partogram to monitor labor progression |
| title_sort | current concepts on the use of the partogram to monitor labor progression |
| topic | partogram labor cesarean section |
| url | https://www.medwave.cl/puestadia/practica/2966.html |
| work_keys_str_mv | AT luisrojascedeno currentconceptsontheuseofthepartogramtomonitorlaborprogression AT jorgeacarvajal currentconceptsontheuseofthepartogramtomonitorlaborprogression |