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The modified WHO partograph is an inexpensive but valuable tool that provides a continuous pictorial overview of progress of labor. It helps to detect any deviance from normal progress of labor. It guides the obstetrician to decide about the need for early diagnosis of complications like prolonged labour and timely intervention. Study objectives were to study the course of normal and abnormal labour, to evaluate the fetomaternal outcome and to study abnormalities of active phase of labour. Material and Methods: A prospective observational study was carried out in RIMS labour room over a period of 6 months from 1st October 2017 to 31st March 2018. 100 Cases admitted in labour room were randomly selected and monitored using Modified WHO Partograph.” Pregnant women with uncomplicated full term pregnancies (37-40 weeks) with vertex presentation in labour were included and women with medical complications like anemia, pregnancy induced hypertension, gestational diabetes, Abnormal lie or presentation, diagnosed cases of CPD were excluded from this study. Various parameters like progress of labor, need for augmentation, mode of delivery, perinatal outcome etc. were studied. Results: Out of 100 women, 83 delivered vaginally without any operative intervention, out of which 20 cases (24%) required augmentation with oxytocin, diue to inadequate uterine contractions. Instrumental delivery rate was 02 percent. The caesarean section rate was 15 percent. Commonest indication for caesarean section was fetal distress. (9 out of 15 caesarean sections accounting for 60%). Conclusion: From the observations of the present study, we conclude that routine use of partogram during labour management help in early detection of deviation from normal progress of labour, guiding timely intervention.

A Study on Monitoring Active Phase of Labour by Modified WHO Partograph in a Tertiary Care Centre in Jharkhand