A study of maternal and perinatal outcomes in primigravida and multigravida by comparing their partogram in labor
Background: The World Health Organization (WHO) recommends the use of partograph during labor and delivery, with objectives to improve health care and reduce maternal and fetal morbidity and mortality. It is also recommended by the National Institute for Clinical Excellence in “intrapartum care” gui...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | MRIMS Journal of Health Sciences |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/mjhs.mjhs_73_23 |
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| Summary: | Background:
The World Health Organization (WHO) recommends the use of partograph during labor and delivery, with objectives to improve health care and reduce maternal and fetal morbidity and mortality. It is also recommended by the National Institute for Clinical Excellence in “intrapartum care” guideline.
Objective:
The present study was carried out to study maternal and perinatal outcomes in primigravida and multigravida by comparing their partogram in labor.
Materials and Methods:
A prospective study was conducted in 70 primigravida and 115 multigravida in labor. The WHO partogram which is similar to Philpott and Castle original description was used. Protocol for labor management with partogram was devised and tested. Graphs were analyzed and placed in three categories: Group A – patients who delivered before partogram touched alert line, Group B – patients who delivered when partogram lies between alert and action lines, and Group C – patients who delivered after action line was crossed. After delivery, labor notes were written.
Results:
Among primigravida, majority (77.2%) belonged to Group A of partogram compared to 91.3% of multigravida. However, in Groups B and C of partogram, primigravida were significantly more than multigravida. Partogram groups had no association with outcome of labor and neonatal birth weight. The proportion of newborns with an Appearance, Pulse, Grimace, Activity, and Respiration score at 1 min and at 5 min of <7 was significantly more in Group C (66.7%) of partogram compared to the other two groups. A proportion of newborns with neonatal complications were significantly more in Group C (50%) of partogram compared to the other two groups.
Conclusion:
Partograph can be used to assess the progress of labor and to identify when intervention is necessary. Using partograph can be highly effective in reducing complications from prolonged labor for both mothers and neonates. |
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| ISSN: | 2321-7006 2321-7294 |