A Randomized Controlled Trial of a Bedside Partogram in the Active Management of Primiparous Labour

Windrim, Rory; Seaward, P. G. R.; Hodnett, Ellen; Akoury, Hani; Kingdom, John; Salenieks, Mary Ellen; Fallah, Shafagh; Ryan, Greg

doi:10.1016/s1701-2163(16)32367-2

Cited by 39 publications

(64 citation statements)

References 13 publications

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“…Thus with the use of WHO Modified Partograph the labour management becomes more efficient, reducing the duration of labour without an increase in caesarean sections. Similar findings have been reported by a number of authors 11,12,15 . The partograph graphically represents key events in labour and provides an early warning system.…”

Section: Resultssupporting

confidence: 93%

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The Impact of Use of Modified Who Partograph on Maternal and Perinatal Outcome

Tayade

Jadhao

2012

Int J of Biomed & Adv Res

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Background: Early detection of abnormal progress and prevention of prolonged labour can significantly improve the outcome of labour. Partograph is an inexpensive tool which can provide a continuous pictorial overview of labour and is essential to monitor and manage labour. Objective: The study was aimed to determine if among low risk labouring women, the use of modified WHO partograph resulted in reduced maternal and perinatal morbidity Methodology: The course of labour of 100 women with uncomplicated full term pregnancies with cephalic presentation in active labour was studied using modified WHO partograph. 100 historical matched controls comprising of low risk women who delivered without the use of partograph were identified from the labour register and their course of labour studied. The hospital records were studied to obtain the demographic variables. Maternal and perinatal outcome was analyzed for both cases and controls. Results: The emergency caesarean section rate was reduced from 44% in controls to 21% in cases (p value <0.05). None of the cases had labour beyond 12 hours, thus indicating significant reduction in prolonged labour. Neonatal intensive care admissions decreased from 17% in controls to 6% in cases indicating an improved maternal & neonatal outcome. Conclusion:The use of Modified WHO Partograph significantly improves the maternal and neonatal outcome of labour thus recommending use of WHO partograph in all maternity units.

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Section: Resultssupporting

confidence: 93%

“…A caesarean section rate of 0.05% was achieved by Bird 8 14 . Similarly, Windrim 15 reports an increase in caesarean section rates with the use of partograph. When we consider the incidence of prolonged labour with the use of partograph it is significantly reduced in our study with none of the women having labour beyond 12 hours.…”

Section: Resultsmentioning

confidence: 97%

The Impact of Use of Modified Who Partograph on Maternal and Perinatal Outcome

Tayade

Jadhao

2012

Int J of Biomed & Adv Res

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“…3 In this study, the use of a Partogram without a mandatory management of labour protocol had no effect on rates of CS or other intrapartum interventions in healthy primiparous women at term.…”

Section: Review Of Literaturementioning

confidence: 51%

Partogram: clinical study to assess the role of Partogram in primigravidae in labor

Anitha

Shivalingaiah

2016

Int J Reprod Contracept Obstet Gynecol

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“…A clinical trial (11) compared mother and perinatal results with and without using the partogram, and found no differences in relation to cesarean sections, labor duration, use of oxytocin, amniotomy, epidural anesthesia, Apgar scores and admission to neonatal intensive care unit.…”

Section: Discussionmentioning

confidence: 99%