Study of Course of Labour by Using Parthograph

Abstract

Introduction: Partograph is an essential tool in monitoring the progress of labour. It helps to detect the abnormal progress of labour. It guides the obstetrician to decide the need for augmentation of labour and provide timely surgical intervention wherever required. Objectives: The objectives were to study the course of normal & abnormal labour using partograph and to evaluate the maternal and perinatal outcome. Methodology: A total 100 patients coming for delivery were selected for the study and records were commenced at 45cm dilatation. Close fetal and maternal monitoring was done throughout the labour and partograph was plotted to detect any deviation from normal course. Results: Based on the partograph findings, the patients were grouped into before alert line, between alert & action line and touching the action line. Out of total 100 deliveries 90 delivered vaginally and 10 underwent lower segment caesarean section (LSCS). Most common cause in patients belonging to the group between alert and action line was inadequate uterine contraction. Most common cause in patients belonging to the group touching action line was cephalopelvic disproportion. Average rate of cervical dilatation in nullipara was 1.76 per hour, in primi para was2.13 per hour, in para 2 was 2.16 per hour and in para 3 and above was 2.56 per hour. Conclusions: Partograph improves the quality of deliver care since it permits to identify dystocia and make effective interventions. Routine use helps in detection of abnormal course of labour. It assures the better maternal and perinatal outcome.