Comparison of Partograms for Spontaneous and Induced Labour

Background: Labour is a unique experience in a normalwoman's life. If it is prolonged and tedious it may produce apicture of mental anguish and physical morbidity. For the newborn child, prolonged labor will pose danger to its survival andsubsequent neurological development. We in the current studytried to evaluate the use of partograms for spontaneous andinduced labor in primi and multis para women.Methods: A total of n=150 cases were studied, and this includesboth primis and multigravidae attending Prathima Hospital.They were divided into 3 groups (groups A, B & C) patients innormal true labor and those in whom induction was used. Theinduced group was again divided into those induced with PGE2gel or oxytocin. The modified WHO partogram starts with 4cmscervical dilatation. partograms were plotted to assess theprogress of labor in each group and analyzed.Results: Group A for 52% primis and 64% multis the partogramfell before the alert line i.e. thedelivered before reaching thealert line, Group – B 56% primis and 48% multis in thepartogrammoved between the alert and action lines. In GroupA 8% primis and 1% multis have reached orcrossed the actionline. 12% primis and 1% multis in group-B have reached orcrossed the actionline. 28% primis and 16% multis in group-Chave reached or crossed the action line,Interventions likeforceps delivery or cesarean section was done for those whohave reached orcrossed the action lineConclusion: Partogram is a useful Non-invasive tool formonitoring the progress of labor in both spontaneous andinduced labor for primis and multis. The Maternal and Fetaloutcome is extremely favorable when partographic monitoringis done in parturients. The partogram helps us to take updecisive interventions in the form of accelerating labor,instrumental vaginal delivery (outlet Forceps/ventouse), andcesarean section